prikaz prve stranice dokumenta Spinal dural arteriovenous fistulas: a report on outcomes in a single-center retrospective cohort treated surgically and/or endovascularly
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Scientific paper - Original scientific paper
Spinal dural arteriovenous fistulas: a report on outcomes in a single-center retrospective cohort treated surgically and/or endovascularly
Croatian Medical Journal, 62 (2021), 4; 347-352. https://doi.org/10.3325/cmj.2021.62.347
Vukić, Miroslav; Barić, Hrvoje; Ozretić, David; Jovanović, Ivan; Poljaković, Zdravka; Tudor, Katarina; Đurić, Krešimir Saša

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Vukić, M., Barić, H., Ozretić, D., Jovanović, I., Poljaković, Z., Tudor, K. & Đurić, K. S. (2021). Spinal dural arteriovenous fistulas: a report on outcomes in a single-center retrospective cohort treated surgically and/or endovascularly. Croatian Medical Journal, 62. (4), 347-352. doi: 10.3325/cmj.2021.62.347

Vukić, Miroslav, et al. "Spinal dural arteriovenous fistulas: a report on outcomes in a single-center retrospective cohort treated surgically and/or endovascularly." Croatian Medical Journal, vol. 62, no. 4, 2021, pp. 347-352. https://doi.org/10.3325/cmj.2021.62.347

Vukić, Miroslav, Hrvoje Barić, David Ozretić, Ivan Jovanović, Zdravka Poljaković, Katarina Tudor and Krešimir Saša Đurić. "Spinal dural arteriovenous fistulas: a report on outcomes in a single-center retrospective cohort treated surgically and/or endovascularly." Croatian Medical Journal 62, no. 4 (2021): 347-352. https://doi.org/10.3325/cmj.2021.62.347

Vukić, M., et al. (2021) 'Spinal dural arteriovenous fistulas: a report on outcomes in a single-center retrospective cohort treated surgically and/or endovascularly', Croatian Medical Journal, 62(4), pp. 347-352. doi: 10.3325/cmj.2021.62.347

Vukić M, Barić H, Ozretić D, Jovanović I, Poljaković Z, Tudor K, and sur.. Spinal dural arteriovenous fistulas: a report on outcomes in a single-center retrospective cohort treated surgically and/or endovascularly. Croatian Medical Journal [Internet]. 2021 August 31 [cited 2024 November 05];62(4):347-352. doi: 10.3325/cmj.2021.62.347

M. Vukić, et al., "Spinal dural arteriovenous fistulas: a report on outcomes in a single-center retrospective cohort treated surgically and/or endovascularly", Croatian Medical Journal, vol. 62, no. 4, pp. 347-352, August 2021. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:785688. [Accessed: 05 November 2024]

Metadata
Title (english)Spinal dural arteriovenous fistulas: a report on outcomes in a single-center retrospective cohort treated surgically and/or endovascularly
AuthorMiroslav Vukić
AuthorHrvoje Barić
AuthorDavid Ozretić
AuthorIvan Jovanović
AuthorZdravka Poljaković
AuthorKatarina Tudor
AuthorKrešimir Saša Đurić
Author's institutionUniversity of Zagreb
School of Medicine
(Croatian Institiute for Brain Research)
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Surgery)
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Neurology)
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Radiology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Radiology
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Basic Medical Sciences
Neuroscience
Abstract (english)
Aim: To report on the outcomes of spinal dural arteriovenous fistulas (sDAVFs) treatment in a single-center retrospective cohort. ----- Methods: Data were retrieved on sDAVF cases treated surgically and endovascularly between January 2009 and January 2020. Sociodemographic, clinical, imaging data, and outcomes were analyzed. ----- Results: Thirty-four patients were identified: 11 female, mean age 64.1 ± 11.5 years; mean time of symptom duration 12 (range 1-149) months. The sDAVF locations were the following: 18 (62.1%) thoracic, 4 (13.8%) lumbar, 4 (13.8%) sacral, and 3 (10%) with multiple location feeders. All patients had a motor deficit and affected walking, and the majority had a sensory deficit, bowel, and bladder dysfunction. Fifteen (44.1%) patients underwent surgical treatment, 7 (20.6%) underwent endovascular treatment, and 12 (35.3%) underwent both (crossover). Radiological myelopathy showed regression in 19 (55.9%) patients. Overall, clinical improvement (decrease in modified Rankin score) following treatment was observed in 14 patients (41.2%), worsening in 1 (2.9%), while other had unchanged status. The proportion of patients with initial treatment failure markedly differed between the before-2014 and after-2014 period. Patients who failed to improve had more extensive myelopathy. ----- Conclusion: Patients who underwent surgery or endovascular treatment had on average significant clinical recovery, while those who underwent treatment crossover had negligible improvement. The extent of myelopathy seems to be associated with clinical improvement.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCroatian Medical Journal
Numberingvol. 62, no. 4, pp. 347-352
p-ISSN0353-9504
e-ISSN1332-8166
DOIhttps://doi.org/10.3325/cmj.2021.62.347
URN:NBNurn:nbn:hr:105:785688
Publication2021-08-31
Document URLhttp://www.cmj.hr/2021/62/4/34472737.htm
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2021-09-21 07:55:08