Trends in the Management of Intracranial Vascular Malformations in the USA from 2000 to 2007

Joint Authors

Pile-Spellman, John
Brisman, Jonathan
Choi, Jae H.

Source

Stroke Research and Treatment

Issue

Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-11, 11 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2012-02-27

Country of Publication

Egypt

No. of Pages

11

Main Subjects

Diseases

Abstract EN

Objective.

To assess prevalence, clinical characteristics, trends in treatment pattern, and outcome in patients with intracranial vascular malformations (IVMs).

Methods.

Nationwide inpatient sample.

Patients with the diagnosis of an IVM admitted to US hospitals from 2000 to 2007.

Results.

In 58,051 IVM-related admissions (detection rate 2.4/100,000 person-years; mean age 49±17 years; 52% women) major diagnoses were intracranial hemorrhage (ICrH) in 15%, seizure 32%, ischemia 5%, and headache 9%.

Procedures included surgery (13%), embolization (13%), radiation therapy (2%), aneurysm clipping (1%), and mechanical ventilation (6%).

Ventilation and ICrH were associated with death (2%), whereas ventilation, ICrH, surgery, seizure, and ischemia were associated with unfavorable outcome (20%).

IVM detection rate and hospital outcome remained stable over time, whereas mean age and comorbid diagnosis of cerebral ischemia increased (ICrH and seizure decreased).

Conclusion.

IVMs are infrequent and present in 1/6 patients with some form of ICrH.

Overall, seizure is the dominant comorbid diagnosis (1/3 patients).

IVMs are equally prevalent among race-ethnic groups and are increasingly detected later in life.

The inpatient care of IVM patients results in death or discharge into specialized care in 1/5 patients.

American Psychological Association (APA)

Choi, Jae H.& Pile-Spellman, John& Brisman, Jonathan. 2012. Trends in the Management of Intracranial Vascular Malformations in the USA from 2000 to 2007. Stroke Research and Treatment،Vol. 2012, no. 2012, pp.1-11.
https://search.emarefa.net/detail/BIM-494441

Modern Language Association (MLA)

Choi, Jae H.…[et al.]. Trends in the Management of Intracranial Vascular Malformations in the USA from 2000 to 2007. Stroke Research and Treatment No. 2012 (2012), pp.1-11.
https://search.emarefa.net/detail/BIM-494441

American Medical Association (AMA)

Choi, Jae H.& Pile-Spellman, John& Brisman, Jonathan. Trends in the Management of Intracranial Vascular Malformations in the USA from 2000 to 2007. Stroke Research and Treatment. 2012. Vol. 2012, no. 2012, pp.1-11.
https://search.emarefa.net/detail/BIM-494441

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-494441