Endovascular Treatment of Intracranial Ruptured Aneurysms Associated with Arteriovenous Malformations: a Clinical Analysis of 14 Hemorrhagic Cases

Overview

Journal Interv Neuroradiol

Publisher Sage Publications

Specialty Neurology

Date 2011 May 13

PMID 21561563

Citations 3

Authors

J-L Yu

S Yang

Q Luo

H-L Wang

B Wang

Y-Y Qu

K Xu

Affiliations

Soon will be listed here.

Abstract

This study investigated and summarized endovascular therapeutic strategies for intracranial ruptured aneurysms associated with arteriovenous malformations (AVMs). Between June 2005 and June 2009, we identified 16 aneurysms in 14 hemorrhagic cases of intracranial AVM using digital subtraction angiography (DSA). Of the 16 aneurysms, 14 were ruptured and two were unruptured. Aneurysms were classified as types I to IV, and were treated. Aneurysm treatment was followed by AVM treatment via various therapies, including embolization, gamma knife radiotherapy, or follow-up and observation to reduce the risk of aneurysm rupture or intracranial hemorrhage. Over a follow-up period ranging from six months to one year, none of the patients had aneurysm ruptures or intracranial hemorrhage. Most (13/14) patients had a Glasgow Outcome Scale (GOS) score of 5, and one patient had a score of 4. Sixteen aneurysms were treated successfully, as confirmed by DSA examination, and no AVMs re-grew. Clinical therapeutic strategies for intracranial ruptured aneurysms associated with AVMs should include aneurysm treatment first to reduce the risk of rupture and intracranial hemorrhage, eventually leading to a better prognosis.

Citing Articles

Multiple Intracranial Aneurysms Associated With Brain Arteriovenous Malformation: A Case Report and Treatment Strategies.

Toader C, Glavan L, Bratu B, Covache-Busuioc R, Dumitrascu D, Ciurea A Cureus. 2024; 16(5):e59670.

PMID: 38836158 PMC: 11149475. DOI: 10.7759/cureus.59670.

Targeted endovascular treatment for ruptured brain arteriovenous malformations.

Hou K, Xu K, Chen X, Ji T, Guo Y, Yu J Neurosurg Rev. 2019; 43(6):1509-1518.

PMID: 31720915 DOI: 10.1007/s10143-019-01205-1.

Ruptured brain arteriovenous malformations associated with aneurysms: safety and efficacy of selective embolization in the acute phase of hemorrhage.

Signorelli F, Gory B, Pelissou-Guyotat I, Guyotat J, Riva R, Dailler F Neuroradiology. 2014; 56(9):763-9.

PMID: 24973129 DOI: 10.1007/s00234-014-1395-2.

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