Study of the imaging characteristics and the resuls of treating spinal arteriovenous shunt by endovascular intervention

Nguyen Tat Thien1, Tran Anh Tuan1, Vu Dang Luu1,
1 Department of Diagnostic Imaging, Bach Mai Hospital

Main Article Content

Abstract

SUMMARY


Purpose: The imaging characteristics and the results of spinal arteriovenous shunt treated by endovascular intervention using the n-BCA glue
Material and Methods: Descriptive and intervention study, patients were diagnosed and treated by endovascular intervention at the Bach Mai hospital from 2012 to 2016. Imaging features were evaluated on MRI and
DSA, evaluated of effectiveness of treatment based on the comparison of clinical symtoms, MRI imaging before and after endovascular treatment.
Result: Diagnosis and endovascular intervention of 21 patients. On MRI, the sign of spinal cord edema and dilated venous drainage were spotted in almost patients. The rate of complete angiographic obliteration
was 61,9% patients and partial in 38,1% patients. After follow up of 3-6 months, spinal cord damage reduce accounted 90,5% and 9,5% patients remain unchanged, clinically significance improvement was achieved in
80,9% patients,19,1% patients do not improve.
Conclusion: MRI plays an important role in the diagnosis and follow up patients with spinal arteriovenous shunt, DSA is the gold standard for diagnosis and to allow intervention treatment with high effective.

Article Details

References

TÀI LIỆU THAM KHẢO
1. Aminoff, M.J. and V. Logue, The prognosis of patients with spinal vascular malformations. Brain, 1974. 97(1): p. 211-8.
2. Anson, J. (1992), Classification of spinal arteriovenous malformations and implications for treatment. BnI Quarterly, 8: p. 2-8.
3. Berenstein, A., P. Lajaunias, and K.G.t. Brugge, Spinal Arteriovenous Malformations, in Surgical Neuroangiography. 2004, Springer. p. 738-872.
4. Saraf-Lavi, E., et al., Detection of spinal dural arteriovenous fistulae with MR imaging and contrast enhanced MR angiography: sensitivity, specificity, and prediction of vertebral level. AJNR Am J Neuroradiol, 2002. 23(5): p. 858-67.
5. Niimi, Y., et al., Symptoms,Vascular anatomy and endovascular treatment of spinal cord arteriovenous
malformations. Interv Neuroradiol, 2000. 6 Suppl 1: p. 199-202.
6. Cho, W.S., et al., Clinical features and treatment outcomes of the spinal arteriovenous fistulas and malformations. J Neurosurg Spine, 2013. 19(2): p. 207-16.
7. Rodesch, G. and P. Lasjaunias, Spinal cord arteriovenous shunts: from imaging to management. Eur J Radiol, 2003. 46(3): p. 221-32.
8. Park SB, Han MH, Jahng TA, Kwon BJ, and Chung CK. Spinal Dural Arteriovenous Fistulas: Clinical Experience
with Endovascular Treatment as a Primary Therapeutic Modality. J Korean Neurosurg Soc 2008; 44(6): 364–369
9. Rosenblum B, Oldfield EH, et al. Spinal arteriovenous malformations: a comparison of dural arteriovenous
fistulas and intradural AVM’s in 81 patients. J Neurosurg. 1987;67:795–802.