What is the most effective method to treat indirect carotid-cavernous fistula?
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F23%3A00001264" target="_blank" >RIV/61383082:_____/23:00001264 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/23:10452948
Result on the web
<a href="https://pubmed.ncbi.nlm.nih.gov/36482213/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/36482213/</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s10143-022-01923-z" target="_blank" >10.1007/s10143-022-01923-z</a>
Alternative languages
Result language
angličtina
Original language name
What is the most effective method to treat indirect carotid-cavernous fistula?
Original language description
To review the most relevant treatment options for indirect carotid-cavernous fistulas (iCCF), cohorts of 20 patients or more published after 2000 were analyzed. Clinical and radiological outcomes, as well as embolization techniques and material, had to be clarified in the study to be considered. Statistical analysis was based on calculating the relative percentage of therapeutic methods or embolic material, followed by calculating parametric and nonparametric correlations. Some 22 studies and 1550 patients were included. Transvenous embolization (TVE) was used in 53% of the patients and was strongly associated with coiling (r(w) = 0.66, p = 0.0.0012; r(s) = 0.53, p = 0.0138), transarterial embolization (TAE) was preferred in 11% of the patients and was strongly linked to liquid embolics (r(w) = 0.44, p = 0.0434;r(s) = 0.64, p = 0.0018). A combination of TAE and TVE treatment was used in 7% and a combination of embolic materials in 13% of the patients. None of the endovascular techniques or embolization materials showed significant superiority over the others in clinical outcome and obliteration rate. Radiosurgery in 22% and mechanical compression in 5% of patients showed a lower obliteration rate (r(w) = - 0.48, p = 0.0254; r(s) = - 0.45, p = 0.0371). The clinical outcomes were comparable to endovascular treatment (EVT). The remaining 2% of the patients were treated by open surgery or a combination of EVT and radiosurgery. Transvenous coiling is the preferred EVT method for iCCF. However, comparable results may be accomplished with TAE using liquid. Radiosurgery may achieve a lower percentage of fistula occlusion, but the clinical results are equal to EVT.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30103 - Neurosciences (including psychophysiology)
Result continuities
Project
<a href="/en/project/NV19-04-00270" target="_blank" >NV19-04-00270: Assessment of hemodynamic parameters of stable and unstable atherosclerotic plaques in the carotid arteries in in vitro models</a><br>
Continuities
P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)
Others
Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Neurosurgical Review
ISSN
0344-5607
e-ISSN
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Volume of the periodical
46
Issue of the periodical within the volume
1
Country of publishing house
US - UNITED STATES
Number of pages
5
Pages from-to
1-5
UT code for WoS article
000899383800002
EID of the result in the Scopus database
2-s2.0-85143561849