Department of Neurosurgery, University of Toyama, Toyama, Japan.
Acta Neurochir Suppl. 2021;132:123-127. doi: 10.1007/978-3-030-63453-7_18.
To report the endovascular treatment and complications of intracranial and spinal dural arteriovenous (AV) fistulas.
A retrospective analysis of 863 cases with dural AV fistulas was completed in the nationwide registry study of the Japanese Society of Neuroendovascular Therapy.
Treatments included transarterial/transvenous embolization (TAE/TVE), open surgery, stereotactic radiation, and their combinations. Modified Rankin Scale 0 (mRS-0) of the patients before and after treatment were 21% and 68%, and mRS 0-1were 69% and 86%, respectively. Mortality rate after treatment was 0.6%. Major complications of TAE and TVE were cranial nerve palsy and cerebral infarction.
Major complications resulted from occlusion of vasa nervosum and material migration via dangerous intracranial and extracranial arterial anastomosis.
报告颅内和脊髓硬脑膜动静脉（AV）瘘的血管内治疗及并发症。
在日本神经血管治疗学会的全国登记研究中，对 863 例硬脑膜 AV 瘘患者进行了回顾性分析。
治疗方法包括经动脉/经静脉栓塞（TAE/TVE）、开放手术、立体定向放射治疗及联合治疗。治疗前后改良 Rankin 量表（mRS）评分分别为 21%和 68%，mRS 0-1 分别为 69%和 86%。治疗后的死亡率为 0.6%。TAE 和 TVE 的主要并发症为颅神经麻痹和脑梗死。
闭塞通过危险的颅内和颅外动脉吻合的神经血管和材料迁移导致主要并发症。
