Volume : IX, Issue : III, March - 2019

EVALUATE EFFICACY OF ENDOVASCULAR MANAGEMENT OF INTRA-CRANIAL ARTERIO-VENOUS MALFORMATION

Dr. Niyati Sharma, Dr. Pankaj Banode, Dr Sachin Domane

Abstract :

AIM – to evaluate the efficacy of endovascular management of intra–cranial arterio–venous malformation OBJECTIVES – • To evaluate the technical efficacy of endovascular management of intra–cranial arterio–venous malformation • To study the outcome of patients with intra–cranial AVM, treated by endovascular embolization. METHODOLOGY – This was Prospective study carried out at database of all neurointerventional cases performed by the interventional neurology team at AVBRH, Wardha, Maharashtra, India in 6 Months period i.e. April 2018 to September 18 were included for the study. A sample size of 25 was taken. Onyx® was used for embolization in all the cases. RESULT: In our study the majority of the patients were in the age group of 30–40 were 36%,20–30– 24%, < 20–20%, 40–50– 21%, 50–60 and >60 were 4% each. Males– 68%,Females–32%.Most common symptom was Headache in 76%,Vertigo– 68%,Seizure– 44%,Tinnitus– 36%,Blurred image– 32%, Difficulty in speaking–20% and Photophobia–12%. GCS scoring 9–12=48%, 12–15=28%, 6–9=16%, 3–6=8%. Hess and Hunt classification grading 3–44%,Grade 2–24% patients, grade 1–16% patients. Grade 4 & 5–8% patients each. Spetzler Martin grading scale, grade 4–36%. Grade 3–28%, grade 5–20%. Grade 2–12% patients and Grade 6–4% patients. Medium sized Cereal AVMs–40% patients. Large AVMs–32% patients. 20% patients–small AVMs. Giant AVMs– 8% patients. Majority (40%) of Cereal AVMs were located in the dominant cereal hemisphere. 32%–non dominant cereal hemisphere.12%–basal ganglia. 5 patients were referred for radiosurgery (20%).

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

EVALUATE EFFICACY OF ENDOVASCULAR MANAGEMENT OF INTRA-CRANIAL ARTERIO-VENOUS MALFORMATION, DR. NIYATI SHARMA, DR. PANKAJ BANODE, DR SACHIN DOMANE INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-3 | March-2019

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