Patient No./Age (y)/Sex | Surgical Treatment | Endovascular Treatment | First DSA Finding | Second DSA Finding | Superselect DSA | Course of Treatment | Follow-up Angiography* | Barthel Index |
---|---|---|---|---|---|---|---|---|
1/43/F | Yes | Yes | Negative | Questionable | 2 | First 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 mo | 100 |
2/31/M | No | Yes | Negative | Questionable | 3 | First 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 mo | 100 |
3/60/F | No | Yes | Positive | 1 | No data | At 6 mo | 95 | |
4/41/M | No | Yes | Questionable | Positive | 1 | First DSA findings questionable. Repeat angiographic findings (2 mo later) were diagnostic. Single-shot endovascular treatment (1 wk later) successful. | At 6 mo | 95 |
5/57/M | Yes | No | Positive | 0 | No data | None | 50 | |
6/48/F | Yes | Yes | Positive | 1 | Surgery attempted first; failed due to inability to locate AV shunt. Postoperative angiograms showed persistence of AV shunt. Endovascular treatment subsequently performed | At 6 mo | 100 | |
7/43/M | Yes | No | Questionable | Positive | First DSA findings questionable. Repeat angiography findings (1 mo later) were diagnostic. Subsequently surgery was successful. | At 3 mo | 100 | |
8/65/F | No | Yes | Questionable | Positive | 1 | First DSA findings questionable. Repeat angiography findings (2 mo later) were diagnostic. Endovascular treatment (1 mo later) successful. | At 3 mo | 100 |
9/38/M | Yes | No | Positive | 0 | No data | At 3 mo | 100 | |
10/50/F | Yes | Yes | Positive | 1 | DSA findings diagnostic. Endovascular treatment failed due to suboptimal microcatheter tip positioning. Patient subsequently underwent surgery. Immediate postoperative angiograms confirmed complete AV shunt resection. | None | 95 |
Note.—DSA indicates digital subtraction angiography; AV, arteriovenous.
↵* Performed after the last procedure.