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Information × Registration Number 0223U005748, 0120U103359 , R & D reports Title To study the efficiency and to improve the tactics of endovascular treatment in patients with arteriovenous malformations according to the analysis of the long-term effects of treatment popup.stage_title Head Scheglov Dmitry V., Доктор медичних наук Registration Date 30-12-2023 Organization State Institution “Research and Practical Center for Endovascular Neuroradiology of National Academy of Medical Sciences of Ukraine” popup.description2 The analysis results of the treatment of 197 patients with arteriovenous malformations (AVM), 174 - patients until 2023, and 23 in 2023. A retrospective analysis of 126 patients who underwent endovascular embolization AVM and cerebral angiography was performed during the observation period, from 1 to 24 years. 145 (73.6%) patients underwent one embolization procedure, 52 (26.4%) patients underwent multi-session embolization. The average age was (37.7±2.2) years, men -112 (56.9%), women -85 (43.1%). Hemorrhagic onset was registered in 122 (61.9%) patients. The average observation period was (4.8±1.4) years. There were 75 (38.1%) patients with non-hemorrhagic AVM onset. The average observation period was (7.3±1.5) years. Total obliteration of the AVM was achieved in 52 (26.4%). Control angiography revealed its stable effect during long-term. In 23 (11.7%) cases preoperative embolization and microsurgical removal of AVM was performed, and in 22 (11.2%) embolization with radiosurgery, which led to occlusion of AVM in 12 (54.5%) patients. At the time of discharge in 185 (93.9%) patients, the results of AVM treatment according to the Rankin outcome scale were assessed as good (0-2 point) and unfavorable (3 or more point) in 12 (6.1%). The average follow-up period for patients after hemorrhage was (4.8±1.4) years, (7.3±1.5) years with convulsive onset, and 3.1±1.4 years with other manifestations of AVM. In 12 (6.1%) patients, there was a worsening of the Rankin scale (10 due to neurological deficit, 2 due to increased seizures, 1 due to cardiac pathology). In 36 (18.3%) patients there was an improvement in the condition in the remote period and an increase in the Rankin scale score. In total, 189 (95.9%) patients with AVMs after endovascular treatment were assessed as good (0-2 point) and unfavorable in 8 (4.1%) (3 or more point) according to the Rankin scale. The results make it possible to increase the efficiency of diagnosis and endovascular treatment of cerebral AVMs. Product Description popup.authors Altman Ihor V. Vyval Mykola Bohdanovych Kravchik Oksana I. Kudelsky Yaroslav E Sviriduk Oleg E. Selvanyuk Ludmila S Sidorenko Olena F Chebanyuk Svitlana V Shcheglov Dmytro popup.nrat_date 2023-12-30 Close