ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2014
Clinical features and endovascular treatment of intracranial arteriovenous malformations in pediatric patients.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Reporting of angiographic studies in patients diagnosed with a cerebral arteriovenous malformation: a systematic review.F1000Research · 2023Pooled it
- What is the best therapeutic approach to a pediatric patient with a deep-seated brain AVM?Neurosurgical review · 2019Pooled it
- External validation of the VALE scoring system for hemorrhage risk in pediatric AVM patients.Neurosurgical review · 2026Article
- One-stop hybrid operation versus microsurgery for treating brain arteriovenous malformation in children-a retrospective case series.Translational pediatrics · 2024Article
- Microsurgical resection of a ruptured intraventricular arteriovenous malformation in a neonate: considerations in management. Illustrative case.Journal of neurosurgery. Case lessons · 2023Article
- Clinical features and outcome in pediatric arteriovenous malformation: institutional multimodality treatment.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
- Single-center experience with endovascular treatment of cerebral arteriovenous malformations with intent to cure in pediatric patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Multimodal Treatment of Pediatric Ruptured Brain Arteriovenous Malformations: A Single-Center Study.Children (Basel, Switzerland) · 2021Article
- Case Report of an Obstructive Hydrocephalus Caused by an Unruptured Mesencephalic Arteriovenous Malformation in a Boy and a Review of Literature.The open neuroimaging journal · 2018Article
- Arteriovenous Malformations in the Pediatric Population: Review of the Existing Literature.Interventional neurology · 2016Review
- Periventricular Location as a Risk Factor for Hemorrhage and Severe Clinical Presentation in Pediatric Patients with Untreated Brain Arteriovenous Malformations.AJNR. American journal of neuroradiology · 2015Article
- How to identify pediatric cerebral and pulmonary arteriovenous malformation earlier: non-hereditary hemorrhagic telangiectasia case.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015Article
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11 authors.
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Abstract
purposeThe purpose of this study was to characterize clinical features and evaluate the clinical outcome of endovascular embolization treatment intracranial arteriovenous malformations in pediatric patients.
methodsA cohort of children (age ≤ 18 years) with arteriovenous malformations (AVMs) from 2000 to 2012 was included. Predictors studied included patient gender, age, and angioarchitectural features, including AVM location, nidus morphology and size, venous drainage, and associated aneurysms. Treatment method, complications and outcomes were recorded. The features of AVMs were evaluated before the treatment.
resultsOne hundred twenty-seven children (77 males, mean age 13.2 years) were included; 90/127 (70.9 %) children were presented with hemorrhage. AVM size and deep venous drainage were independently associated with hemorrhage; 66/127 patients (52 %) treated with endovascular embolization. Complete obliteration at the end of all endovascular procedures was achieved in 14/66 patients (21.2 %), with an average of 78 % (range, 20-100 %) volume reduction. A mean of 2.9 (range, 1-9) feeding pedicles was embolized per patient. Overall, nine complications occurred in a total of 123 procedures (7.3 %). There was no procedure-related death in this study population. There was no significant difference between patients with and without complications in terms of AVM grade, demographic characteristics, or embolization features.
conclusionsAVM size and deep venous drainage were independently associated with hemorrhage in pediatric patients. Endovascular procedure is feasible and safe for pediatric AVMs, and complete embolization can be achieved in small AVMs, while large AVMs can be adequately reduced in size for additional microsurgery or stereotactic radiosurgery.
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