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ANATOMICAL PREDICTORS OF HEMORRHAGE FROM CEREBRAL ARTERIOVENOUS MALFORMATIONS

Abstract

Abstract. Background and Purpose. Associations between clinical presentation of brain arteriovenous malformations (AVMs) and their angioarchitecture have been described. This study aims to identify significant factors related to the initial hemorrhagic event through multivariate statistical methodology.

Methods. The authors studied the initial clinical presentation of 257 consecutive patients with brain AVMs. Angiographic features present at that time, such as location, size, and blood supply, were recorded following a standard protocol and associated, through multivariate analysis techniques, with type of presentation. Conclusions. For initial hemorrhagic presentation, deep location, а small size AVM, a small number of afferents, deep venous drainage and presence of intranidal aneurysms were significant associated factors. 

About the Authors

K. N. Babichev
Федеральное государственное бюджетное военное образовательное учреждение высшего образования «Военно-медицинская академия имени С.М. Кирова» Министерства обороны Российской Федерации.
Russian Federation


D. V. Svistov
Федеральное государственное бюджетное военное образовательное учреждение высшего образования «Военно-медицинская академия имени С.М. Кирова» Министерства обороны Российской Федерации.
Russian Federation


D. V. Kandyba
Федеральное государственное бюджетное военное образовательное учреждение высшего образования «Военно-медицинская академия имени С.М. Кирова» Министерства обороны Российской Федерации.
Russian Federation


A. V. Savello
Федеральное государственное бюджетное военное образовательное учреждение высшего образования «Военно-медицинская академия имени С.М. Кирова» Министерства обороны Российской Федерации.
Russian Federation


R. S. Martynov
Федеральное государственное бюджетное военное образовательное учреждение высшего образования «Военно-медицинская академия имени С.М. Кирова» Министерства обороны Российской Федерации.
Russian Federation


S. A. Landik
Федеральное государственное бюджетное военное образовательное учреждение высшего образования «Военно-медицинская академия имени С.М. Кирова» Министерства обороны Российской Федерации.
Russian Federation


References

1. Krylov V.V., Dmitriev A.Yu. Klinika i diagnostika arteriovenoznyh mal’formacij v ostrom periode krovoizliyaniya. Nejrohirurgiya 2012;3:26—30 (in Russ.).

2. Maryashev S.A., Golanov A.V., Konovalov A.N. i dr. Radiohirurgicheskoe obluchenie pacientov s arteriovenoznymi mal’formaciyami golovnogo mozga na apparate gamma—nozh. Voprosy nejrohirurgii im. N.N. Burdenko 2013;77(5):16—29 (in Russ.).

3. Parfenov V.E., Svistov D.V., Eliava Sh.Sh et al. Klinicheskie rekomendacii diagnostiki I lecheniya arteriovenoznyh mal’formacij central’noj nervnoj sistemy. Plenum Pravleniya Associacii nejrohirurgov Rossii, 2015. S. 1-15(in Russ.).

4. da Costa L., Wallace M.C., Ter Brugge K.G., et al. The natural history and predictive features of hemorrhage from brain arteriovenous malformations. Stroke 2009; 40(1):100—105. doi: 10.1161/STROKEAHA.108.524678.

5. Duong D.H., Young W.L., Vang M.C., et al. Feeding artery pressure and venous drainage pattern are primary determinants of hemorrhage from cerebral arteriovenous malformations. Stroke 1998;29(6):1167—76.

6. Gross B.A., Du R. Natural history of cerebral arteriovenous malformations: a meta—analysis. J Neurosurg 2013;118(2): 437—43. doi: 10.3171/2012.10.JNS121280.

7. Fleetwood I.G., Marcellus M.L., Levy R.P., et al. Deep arteriovenous malformations of basal ganglia and thalamus: natural history. J Neurosurg 2003; 98(4):747—750. doi: 10.3171/jns.2003.98.4.0747

8. Flores B.C., Klinger D.R., Rickert K.L., et al. Management of intracranial aneurysms associated with arteriovenous malformations. Neurosurgical Focus 2014;37(3): E11. doi: 10.3171/2014.6.FOCUS14165.

9. Alexander M.D., Cooke D.L., Hallam D.K. et al. Less can be more: Targeted embolization of aneurysms associated with arteriovenous malformations unsuitable for surgical resection. Interventional Neuroradiology 2016;22(4):1—7. doi: 10.1177/1591019916641316

10. Meisel H.J., Mansmann U., Alvarez H., et al. Cerebral arteriovenous malformations and associated aneurysms: Analysis of 305 cases from a series of 662 patients. Neurosurgery 2000; 46(4):793—800.

11. Meisel H.J., Mansmann U., Alvarez H., et al. Effect of partial targeted N—butyl—cyano—acrylate embolization in brain AVM. Acta Neurochir (Wien) 2002; 144(9): 879—887. doi: 10.1007/s00701—002—0978—6

12. Miyasaka Y., Yada K., Ohwada T., et al. An analysis of the venous drainage system as a factor in hemorrhage from arteriovenous malformations. J Neurosurg 1992;76(2):239—243. doi: 10.3171/jns.1992.76.2.0239

13. Redekop G., TerBrugge K., Montanera W., Willinsky R. Arterial aneurysms associated with cerebral arteriovenous malformations: Classification, incidence, and risk of hemorrhage. J Neurosurg 1998; 89(4): 539—546.

14. Spetzler R.F., Martin N.A. A proposed grading system for arteriovenous malformations. J Neurosurg 1986;65(4):476—483. doi: 10.3171/jns.1986.65.4.0476

15. Stapf C., Mohr J.P., Sciacca R.R., et al. Incident Hemorrhage Risk of Brain Arteriovenous Malformations Located in the Arterial Borderzones. Stroke 2000; 31(10): 2365—2368.

16. Stapf C., Mast H., Sciacca R.R. et al. Predictors of hemorrhage in patients with untreated brain arteriovenous malformation. Neurology 2006;66(9):1350—1355. doi: 10.1212/01.wnl.0000210524.68507.87

17. Stefani M.A., Porter P.J., ter Brugge K.G., et al. Angioarchitectural Factors Present in Brain Arteriovenous Malformations Associated With Hemorrhagic Presentation. Stroke 2002;33:920—924. doi: 10.1161/01.STR.0000014582.03429.F7

18. Turjman F., Massoud T.F., Viсuela F., et al. Aneurysms related to cerebral arteriovenous malformations: Superselective angiographic assessment in 58 patients. AJNR Am J Neuroradiol 1994;15(9):1601—1605.

19. Turjman F., Massoud T.F., Viсuela F., et al. Correlation of the angioarchitectural features of cerebral arteriovenous malformations with clinical presentation of hemorrhage. Neurosurgery 1995;37(5):856—860.


Review

For citations:


Babichev K.N., Svistov D.V., Kandyba D.V., Savello A.V., Martynov R.S., Landik S.A. ANATOMICAL PREDICTORS OF HEMORRHAGE FROM CEREBRAL ARTERIOVENOUS MALFORMATIONS. Russian journal of neurosurgery. 2017;(4):28-34.

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ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
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