在盖伦的静脉以后的认知、功能的地位动脉瘤的畸形性 endovascular 吸藏

• 作者: Jason A Ellis Lauren Orr Neil A Feldstein Paul C McCormick Ⅱ Philip M Meyers Richard CE Anderson
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Cognition Embolization ENDOVASCULAR Hemorrhage Interventional NEURORADIOLOGY Neurological development Outcomes Vein of GALEN ANEURYSMAL MALFORMATION
• 年，卷（期）: 2012,（3）
• 页码范围: 83-89
• 页数: 7页
• 分类号: R651.1

摘要

AIM:To study the clinical outcomes of treating vein of Galen aneurysmal malformations(VGAM),we assessed our patient cohort using standardized cognitive and functional measures.METHODS:A retrospective review of patients with VGAM treated by a single practitioner between 2003 and 2009 was performed for this study.In addition to routine clinical assessment,all patients were evaluated for cognitive and functional impairment using validated measures including the Neurobehavioral Rating ScaleRevised,the Bicêtre outcome score,and the Barthel index.RESULTS:Five patients underwent combined transarterial and transvenous embolization of their VGAM during the study period.VGAMs were classified based on angioarchitecture as either choroidal(1/5) or mural(4/5) according to the classification scheme of Lasjaunias.In total,13 embolization procedures were performed consisting of 1 to 3 treatment stages per patient.Complete or near complete occlusion was achieved in 4 patients,while subtotal occlusion was achieved in 1 patient.During follow-up(median 62.6 mo),all patients were either unchanged or cognitively and neurologically intact.CONCLUSION:VGAM can be safely and effectively treated by staged transarterial and transvenous embolization.Using this strategy,excellent long-term cognitive and functional outcomes can be achieved.