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Abstract

Embolization of spinal dural arteriovenous fistula with polyvinyl alcohol particles: experience in 14 patients.

D A Nichols, D A Rufenacht, C R Jack and G S Forbes
American Journal of Neuroradiology May 1992, 13 (3) 933-940;
D A Nichols
Department of Diagnostic Radiology, Mayo Clinic, Rochester, MN 55905.
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D A Rufenacht
Department of Diagnostic Radiology, Mayo Clinic, Rochester, MN 55905.
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C R Jack Jr
Department of Diagnostic Radiology, Mayo Clinic, Rochester, MN 55905.
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G S Forbes
Department of Diagnostic Radiology, Mayo Clinic, Rochester, MN 55905.
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Abstract

PURPOSE To assess the effectiveness, initial and long term, of embolization using polyvinyl alcohol particles (PVA) particles in patients with spinal dural arteriovenous fistulas (SDAVF).

METHODS The initial treatment in 14 patients with SDAVF was embolization with PVA particles. Postembolization occlusion of the SDAVF was documented angiographically in all cases.

RESULTS All 14 patients initially showed an improvement in clinical symptoms, but the neurologic status of 11 patients subsequently deteriorated. Of the 11 patients who had recurrence of symptoms, nine had angiographically proven recurrences of their SDAVF while two had negative follow-up of spinal angiography. PVA embolization is ineffective for the treatment of SDAVF and is not without risk.

CONCLUSION On the basis of a literature review of the other two alternative treatments (operation or liquid adhesive embolization) available for SDAVF and our preliminary experience with N-butyl cyanoacylate (NBCA) embolization, we suggest that NBCA embolization be the initial treatment of choice for SDAVF; if that procedure is not possible, or is unsuccessful, then operation is recommended.

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American Journal of Neuroradiology
Vol. 13, Issue 3
1 May 1992
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Cite this article
D A Nichols, D A Rufenacht, C R Jack, G S Forbes
Embolization of spinal dural arteriovenous fistula with polyvinyl alcohol particles: experience in 14 patients.
American Journal of Neuroradiology May 1992, 13 (3) 933-940;

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Embolization of spinal dural arteriovenous fistula with polyvinyl alcohol particles: experience in 14 patients.
D A Nichols, D A Rufenacht, C R Jack, G S Forbes
American Journal of Neuroradiology May 1992, 13 (3) 933-940;
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Cited By...

  • Sacral dural arteriovenous fistulas: a diagnostic and therapeutic challenge - single-centre experience of 13 cases and review of the literature
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  • Endovascular management of spinal dural arteriovenous fistulas
  • Spinal Dural Arteriovenous Fistulas
  • Spinal dural arteriovenous fistulas: Long-term follow-up of 44 treated patients
  • N-butyl 2-cyanoacrylate Embolization of Spinal Dural Arteriovenous Fistulae
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