Radiation Dose and Fluoroscopy Time of Endovascular Treatment in Patients with Intracranial Lateral Dural Arteriovenous Fistulae.


Journal

Clinical neuroradiology
ISSN: 1869-1447
Titre abrégé: Clin Neuroradiol
Pays: Germany
ID NLM: 101526693

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 30 09 2020
accepted: 20 11 2020
pubmed: 15 12 2020
medline: 15 12 2021
entrez: 14 12 2020
Statut: ppublish

Résumé

Intracranial lateral dural arteriovenous fistula (LDAVF) represents a specific subtype of cerebrovascular fistulae, harboring a potentially life-threatening risk of brain hemorrhage. Fluoroscopically guided endovascular embolization is the therapeutic gold standard. We provide detailed dosimetry data to suggest novel diagnostic reference levels (DRL). Retrospective single-center study of LDAVFs treated between January 2014 and December 2019. Regarding dosimetry, the dose area product (DAP) and fluoroscopy time were analyzed for the following variables: Cognard scale grade, endovascular technique, angiographic outcome, and digital subtraction angiography (DSA) protocol. A total of 70 patients (19 female, median age 65 years) were included. Total median values for DAP and fluoroscopy time were 325 Gy cm This LDAVF study suggests several local DRLs which varied substantially dependent on the endovascular technique and DSA protocol.

Identifiants

pubmed: 33313974
doi: 10.1007/s00062-020-00982-3
pii: 10.1007/s00062-020-00982-3
pmc: PMC8648699
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1149-1157

Informations de copyright

© 2020. The Author(s).

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Auteurs

Robert Forbrig (R)

Institute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany. robert.forbrig@med.uni-muenchen.de.

Robert Stahl (R)

Institute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.

Lucas L Geyer (LL)

Institute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.

Yigit Ozpeynirci (Y)

Institute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.

Thomas Liebig (T)

Institute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.

Christoph G Trumm (CG)

Institute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.

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Classifications MeSH