Analysis of the best therapeutic alternative for intracranial dural arteriovenous malformations Análise da melhor alternativa terapêutica para malformações arteriovenosas durais intracranianas
The material for this research consisted of 93 patients with dural arteriovenous malformations (DAVMs) who were studied retrospectively with regards to therapeutic success and failure, who had undergone either neurosurgery, or embolization or a combination of both methods and whose disease was locat...
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2005-09-01
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doaj-73cab142182e46719a636b08f2df2f0b2020-11-24T22:51:57ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria0004-282X1678-42272005-09-01633a60561310.1590/S0004-282X2005000400010Analysis of the best therapeutic alternative for intracranial dural arteriovenous malformations Análise da melhor alternativa terapêutica para malformações arteriovenosas durais intracranianasCésar de Paula LucasMirto N. PrandiniJosé Guilherme Mendes Pereira CaldasThe material for this research consisted of 93 patients with dural arteriovenous malformations (DAVMs) who were studied retrospectively with regards to therapeutic success and failure, who had undergone either neurosurgery, or embolization or a combination of both methods and whose disease was located in the cavernous sinus, the superior sagittal sinus, the transverse-sigmoid sinus of the anterior fossa and the tentorium. Thus, it was possible to arrive at the following conclusions: treatment of the DAVMs must be indicated, jointly, by an interventionist neuroradiologist and a neurosurgeon; DAVMs of the transverse-sigmoid sinus were better treated when a combination of both methods was used; DAVMs of the tentorium were also better treated with a combined method; the endovascular method ensured only a 50% chance of therapeutic success for DAVMs of the superior sagittal sinus; DAVMs of the cavernous sinus are better treated when the endovascular method was used with a transvenous approach, relative to the transarterial approach.<br>O material utilizado consistiu de 93 pacientes portadores de malformações arteriovenosas durais (MAVDs) estudados retrospectivamente em relação ao sucesso e ao fracasso terapêutico submetidos aos métodos neurocirúrgico ou endovascular ou, ainda, combinação entre ambos, em que a doença se localizou nas regiões do seio cavernoso, do seio sagital superior, do seio transverso-sigmóide, da fossa anterior e do tentório. As conclusões foram as seguintes: o tratamento das MAVDs deve ser indicado pelo neurorradiologista intervencionista e pelo neurocirurgião, conjuntamente; as MAVDs do seio transverso-sigmóide foram melhor tratadas através do método combinado; as MAVDs do tentório foram melhor tratadas através do método combinado; as MAVDs do seio sagital superior tratadas por método endovascular asseguraram apenas 50% de sucesso terapêutico; as MAVDs do seio cavernoso são melhor tratadas por método endovascular empregando-se a via transvenosa quando comparadas com a via transarterial.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000400010malformação arteriovenosa duralmétodo endovascularmétodo neurocirúrgicodural arteriovenous malformationendovascular therapyneurosurgical therapy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
César de Paula Lucas Mirto N. Prandini José Guilherme Mendes Pereira Caldas |
spellingShingle |
César de Paula Lucas Mirto N. Prandini José Guilherme Mendes Pereira Caldas Analysis of the best therapeutic alternative for intracranial dural arteriovenous malformations Análise da melhor alternativa terapêutica para malformações arteriovenosas durais intracranianas Arquivos de Neuro-Psiquiatria malformação arteriovenosa dural método endovascular método neurocirúrgico dural arteriovenous malformation endovascular therapy neurosurgical therapy |
author_facet |
César de Paula Lucas Mirto N. Prandini José Guilherme Mendes Pereira Caldas |
author_sort |
César de Paula Lucas |
title |
Analysis of the best therapeutic alternative for intracranial dural arteriovenous malformations Análise da melhor alternativa terapêutica para malformações arteriovenosas durais intracranianas |
title_short |
Analysis of the best therapeutic alternative for intracranial dural arteriovenous malformations Análise da melhor alternativa terapêutica para malformações arteriovenosas durais intracranianas |
title_full |
Analysis of the best therapeutic alternative for intracranial dural arteriovenous malformations Análise da melhor alternativa terapêutica para malformações arteriovenosas durais intracranianas |
title_fullStr |
Analysis of the best therapeutic alternative for intracranial dural arteriovenous malformations Análise da melhor alternativa terapêutica para malformações arteriovenosas durais intracranianas |
title_full_unstemmed |
Analysis of the best therapeutic alternative for intracranial dural arteriovenous malformations Análise da melhor alternativa terapêutica para malformações arteriovenosas durais intracranianas |
title_sort |
analysis of the best therapeutic alternative for intracranial dural arteriovenous malformations análise da melhor alternativa terapêutica para malformações arteriovenosas durais intracranianas |
publisher |
Academia Brasileira de Neurologia (ABNEURO) |
series |
Arquivos de Neuro-Psiquiatria |
issn |
0004-282X 1678-4227 |
publishDate |
2005-09-01 |
description |
The material for this research consisted of 93 patients with dural arteriovenous malformations (DAVMs) who were studied retrospectively with regards to therapeutic success and failure, who had undergone either neurosurgery, or embolization or a combination of both methods and whose disease was located in the cavernous sinus, the superior sagittal sinus, the transverse-sigmoid sinus of the anterior fossa and the tentorium. Thus, it was possible to arrive at the following conclusions: treatment of the DAVMs must be indicated, jointly, by an interventionist neuroradiologist and a neurosurgeon; DAVMs of the transverse-sigmoid sinus were better treated when a combination of both methods was used; DAVMs of the tentorium were also better treated with a combined method; the endovascular method ensured only a 50% chance of therapeutic success for DAVMs of the superior sagittal sinus; DAVMs of the cavernous sinus are better treated when the endovascular method was used with a transvenous approach, relative to the transarterial approach.<br>O material utilizado consistiu de 93 pacientes portadores de malformações arteriovenosas durais (MAVDs) estudados retrospectivamente em relação ao sucesso e ao fracasso terapêutico submetidos aos métodos neurocirúrgico ou endovascular ou, ainda, combinação entre ambos, em que a doença se localizou nas regiões do seio cavernoso, do seio sagital superior, do seio transverso-sigmóide, da fossa anterior e do tentório. As conclusões foram as seguintes: o tratamento das MAVDs deve ser indicado pelo neurorradiologista intervencionista e pelo neurocirurgião, conjuntamente; as MAVDs do seio transverso-sigmóide foram melhor tratadas através do método combinado; as MAVDs do tentório foram melhor tratadas através do método combinado; as MAVDs do seio sagital superior tratadas por método endovascular asseguraram apenas 50% de sucesso terapêutico; as MAVDs do seio cavernoso são melhor tratadas por método endovascular empregando-se a via transvenosa quando comparadas com a via transarterial. |
topic |
malformação arteriovenosa dural método endovascular método neurocirúrgico dural arteriovenous malformation endovascular therapy neurosurgical therapy |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000400010 |
work_keys_str_mv |
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