脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
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硬膜動静脈瘻治療における外科治療の役割
秋山 武紀堀口 崇高橋 里史大平 貴之秋山 武和吉田 一成
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2020 年 48 巻 6 号 p. 420-426

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Summary: Following technological advances in endovascular therapy, this approach is preferred over surgery as the mainstay of treatment for dural arteriovenous fistula (dAVF). However, surgery remains important, and its role should be re-evaluated. In this retrospective study, we investigated the outcomes of surgical treatment for dAVF, focusing on the pitfalls of this approach in 101 patients who underwent surgery for dAVF. We analyzed the characteristics of lesions treated surgically, as well as treatment outcomes including the morbidity, AV shunt occlusion, and recurrence rates. The results included 20 patients who underwent only surgical treatment. The surgical morbidity rate was 5%. All AV shunts were extirpated at radical procedures; however, recurrence occurred in one patient. In conclusion, surgery serves as definitive treatment for specific types of dAVF. Careful decision-making regarding an endovascular vs. an open surgical approach is important, together with preparedness to manage the associated challenges, as observed in this case series.

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© 2020 一般社団法人 日本脳卒中の外科学会
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