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Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula

BACKGROUND: Scalp arteriovenous fistula (sAVF) is a rare vascular disease; so far, the standard guidelines for the treatment of sAVF are still unclear. Since its complex vascular anatomical structure, surgical management of sAVF remains an enormous challenge. METHODS: Between March 2016 and October...

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Autores principales: Zheng, Jianfeng, Guo, Zongduo, Zhang, Xiaodong, Sun, Xiaochuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7398378/
https://www.ncbi.nlm.nih.gov/pubmed/32922903
http://dx.doi.org/10.1186/s41016-018-0148-1
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author Zheng, Jianfeng
Guo, Zongduo
Zhang, Xiaodong
Sun, Xiaochuan
author_facet Zheng, Jianfeng
Guo, Zongduo
Zhang, Xiaodong
Sun, Xiaochuan
author_sort Zheng, Jianfeng
collection PubMed
description BACKGROUND: Scalp arteriovenous fistula (sAVF) is a rare vascular disease; so far, the standard guidelines for the treatment of sAVF are still unclear. Since its complex vascular anatomical structure, surgical management of sAVF remains an enormous challenge. METHODS: Between March 2016 and October 2017, three patients with sAVF admitted to the First Affiliated Hospital of Chongqing Medical University were reviewed, and clinical characteristics, imaging features, and surgical outcomes were analyzed. RESULTS: Three consecutive patients with sAVF were admitted to our hospital during the study period. Two patients received intravascular embolization and one patient received surgical resection. No procedure-related complications occurred after successfully treatment. During the long-term follow-up period, three patients recovered well and had no recurrence of lesion. CONCLUSIONS: Either intravascular embolization or surgical resection is an effective therapy method for sAVF. Careful identification of angioarchitecture features contributes to successful treatment for the complex sAVF; therefore, it is recommended that neurosurgeons make the best treatment plan based on the location and number of the fistulas, feeding the artery, and draining the vein.
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spelling pubmed-73983782020-09-10 Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula Zheng, Jianfeng Guo, Zongduo Zhang, Xiaodong Sun, Xiaochuan Chin Neurosurg J Research BACKGROUND: Scalp arteriovenous fistula (sAVF) is a rare vascular disease; so far, the standard guidelines for the treatment of sAVF are still unclear. Since its complex vascular anatomical structure, surgical management of sAVF remains an enormous challenge. METHODS: Between March 2016 and October 2017, three patients with sAVF admitted to the First Affiliated Hospital of Chongqing Medical University were reviewed, and clinical characteristics, imaging features, and surgical outcomes were analyzed. RESULTS: Three consecutive patients with sAVF were admitted to our hospital during the study period. Two patients received intravascular embolization and one patient received surgical resection. No procedure-related complications occurred after successfully treatment. During the long-term follow-up period, three patients recovered well and had no recurrence of lesion. CONCLUSIONS: Either intravascular embolization or surgical resection is an effective therapy method for sAVF. Careful identification of angioarchitecture features contributes to successful treatment for the complex sAVF; therefore, it is recommended that neurosurgeons make the best treatment plan based on the location and number of the fistulas, feeding the artery, and draining the vein. BioMed Central 2019-01-15 /pmc/articles/PMC7398378/ /pubmed/32922903 http://dx.doi.org/10.1186/s41016-018-0148-1 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Zheng, Jianfeng
Guo, Zongduo
Zhang, Xiaodong
Sun, Xiaochuan
Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_full Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_fullStr Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_full_unstemmed Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_short Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_sort intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7398378/
https://www.ncbi.nlm.nih.gov/pubmed/32922903
http://dx.doi.org/10.1186/s41016-018-0148-1
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