DESCRIBE IMAGE AND EVALUATE THE RESULTS OF TREATMENT OF RUPTURED BRAIN AVM BY INTERVENTION

Đỗ Đức Thuần1,, Đặng Phúc Đức1
1 Military Hospital 103

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Abstract

Objective: Describe image and evaluate the results of treatment of ruptured brain AVM by intervention. Subject and method: prospective, descriptive cross sectional study of 156 patinets diagnosed with ruptured brain AVM in the stroke department of Hospital No103 from to august 2009 to June 2021. Result: Rupture AVM in the parietal lobe, frontal lobe and occipital lobe, the rate is: 26.92%, 23.72% and 18.59%, in the cerebellum is 14.01%, rarely in the ventricles or subcortical areas. contrast CT brain: bleeding signe 43.90.%. In DSA, artery pedicles 1.98 ± 0.64, the rate of Spitzler – Martin with 2 and point: 35.89% and 30.77%. Intervention AVM 80.13% with 40% complete occlusion. Complications: vascular occlusion 4%, bleeding 2.4% and mortality 0.08%. Conclusion:  local rupeture AVM usually bleeds in the lobe of the brain, the risk of recurrent bleeding can be recognized through injectable CT showing the bleeding point. Angioplasty is an effective treatment with low complications

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References

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