TABLE 2:

Overview of diagnostic workup results, therapeutic course, angiographic follow-up findings, and outcome

Patient No./Age (y)/SexSurgical TreatmentEndovascular TreatmentFirst DSA FindingSecond DSA FindingSuperselect DSACourse of TreatmentFollow-up Angiography*Barthel Index
1/43/FYesYesNegativeQuestionable2First DSA findings negative and control DSA findings (1 mo later) questionable. Microcatheterization was diagnostic. Endovascular treatment failed due to clinically uncomplicated vasospasm of the arterial feeder. Surgical intervention was successful.At 6 mo100
2/31/MNoYesNegativeQuestionable3First DSA findings negative and control DSA findings (1 mo later) questionable. Microcatheterization was diagnostic. First embolization incomplete. Second (6 mo later) endovascular procedure successful.At 3 mo100
3/60/FNoYesPositive1No dataAt 6 mo95
4/41/MNoYesQuestionablePositive1First DSA findings questionable. Repeat angiographic findings (2 mo later) were diagnostic. Single-shot endovascular treatment (1 wk later) successful.At 6 mo95
5/57/MYesNoPositive0No dataNone50
6/48/FYesYesPositive1Surgery attempted first; failed due to inability to locate AV shunt. Postoperative angiograms showed persistence of AV shunt. Endovascular treatment subsequently performedAt 6 mo100
7/43/MYesNoQuestionablePositiveFirst DSA findings questionable. Repeat angiography findings (1 mo later) were diagnostic. Subsequently surgery was successful.At 3 mo100
8/65/FNoYesQuestionablePositive1First DSA findings questionable. Repeat angiography findings (2 mo later) were diagnostic. Endovascular treatment (1 mo later) successful.At 3 mo100
9/38/MYesNoPositive0No dataAt 3 mo100
10/50/FYesYesPositive1DSA findings diagnostic. Endovascular treatment failed due to suboptimal microcatheter tip positioning. Patient subsequently underwent surgery. Immediate postoperative angiograms confirmed complete AV shunt resection.None95
  • Note.—DSA indicates digital subtraction angiography; AV, arteriovenous.

  • * Performed after the last procedure.