硬膜動静脈瘻の病態と治療
DAVFに対して適切な治療を行うには, 病態と血管構築を理解することが重要である. DAVFの発症形式は, 部位やvenous drainage patternによって多様であり, 自然歴を考慮した治療計画が求められる. 画像診断法, カテーテル, 塞栓物質などの進歩に併って血管内治療を中心としたDAVFの治療成績は向上した. 2018年にはOnyxが承認され治療の幅が広がったが, DAVFに対する治療方針は一律ではなく, 症例ごとに血管解剖と血行動態を十分に理解して治療ストラテジーを検討することが重要である....
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| Published in | 脳神経外科ジャーナル Vol. 29; no. 12; pp. 852 - 861 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脳神経外科コングレス
2020
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0917-950X 2187-3100 |
| DOI | 10.7887/jcns.29.852 |
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| Abstract | DAVFに対して適切な治療を行うには, 病態と血管構築を理解することが重要である. DAVFの発症形式は, 部位やvenous drainage patternによって多様であり, 自然歴を考慮した治療計画が求められる. 画像診断法, カテーテル, 塞栓物質などの進歩に併って血管内治療を中心としたDAVFの治療成績は向上した. 2018年にはOnyxが承認され治療の幅が広がったが, DAVFに対する治療方針は一律ではなく, 症例ごとに血管解剖と血行動態を十分に理解して治療ストラテジーを検討することが重要である. |
|---|---|
| AbstractList | DAVFに対して適切な治療を行うには, 病態と血管構築を理解することが重要である. DAVFの発症形式は, 部位やvenous drainage patternによって多様であり, 自然歴を考慮した治療計画が求められる. 画像診断法, カテーテル, 塞栓物質などの進歩に併って血管内治療を中心としたDAVFの治療成績は向上した. 2018年にはOnyxが承認され治療の幅が広がったが, DAVFに対する治療方針は一律ではなく, 症例ごとに血管解剖と血行動態を十分に理解して治療ストラテジーを検討することが重要である. |
| Author | 鈴木, 秀謙 三浦, 洋一 芝, 真人 当麻, 直樹 鈴木, 有芽 安田, 竜太 |
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| References | 2) Baltsavias G, Parthasarathi V, Aydin E, Al Schameri RA, Roth P, Valavanis A : Cranial dural arteriovenous shunts. Part 1. Anatomy and embryology of the bridging and emissary veins. Neurosurg Rev 38 : 253-264, 2015. 27) Shah MN, Botros JA, Pilgram TK, Moran CJ, Cross DT 3rd, Chicoine MR, Rich KM, Dacey Jr RG, Derdeyn CP, Zipfel GJ : Borden-Shucart Type Ⅰ dural arteriovenous fistulas : clinical course including risk of conversion to higher-grade fistulas. J Neurosurg 117 : 539-545, 2012. 4) Borden JA, Wu JK, Shucart WA : A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82 : 166-179, 1995. 3) Baltsavias G, Roth P, Valavanis A : Cranial dural arteriovenous shunts. Part 3. Classification based on the leptomeningeal venous drainage. Neurosurg Rev 38 : 273-281, 2015. 22) 日本脳卒中学会 脳卒中ガイドライン委員会 : 脳卒中治療ガイドライン2015. 東京, 協和企画, 2015, pp.165-168. 9) Ertl L, Bruckmann H, Kunz M, Crispin A, Fesl G : Endovascular therapy of low- and intermediate-grade intracranial lateral dural arteriovenous fistulas : a detailed analysis of primary success rates, complication rates, and long-term follow-up of different technical approaches. J Neurosurg 126 : 360-367, 2017. 29) Taki W, Yonekawa Y, Iwata H, Uno A, Yamashita K, Amemiya H : A new liquid material for embolization of arteriovenous malformations. AJNR Am J Neuroradiol 11 : 163-168, 1991. 7) Cognard C, Januel AC, Silva NA Jr, Tall P : Endovascular treatment of intracranial dural arteriovenous fistulas with cortical venous drainage : New management using Onyx. AJNR Am J Neuroradiol 29 : 235-241, 2008. 10) Geibprasert S, Pereira V, Krings T, Jiarakongmun P, Toulgoat F, Pongpech S, Lasjaunias P : Dural arteriovenous shunts : a new classification of craniospinal epidural venous anatomical bases and clinical correlations. Stroke 39 : 2783-2794, 2008. 25) Sadeh-Gonike U, Magand N, Armoiry X, Riva R, Labeyrie PE, Lamy B, Lukaszewicz AC, Lehot JJ, Turjiman F, Gory B : Transarterial Onyx embolization of intracranial dural fistulas : a prospective cohort, systematic review, and meta-analysis. Neurosurgery 82 : 854-863, 2018. 31) Vollherbst DF, Herweh C, Schonenberger S, Seker F, Nagel S, Ringleb PA, Bendszus M, Mohlenbruch MA : The influence of angioarchitectural features on the success of endovascular embolization of cranial dural arteriovenous fistulas with Onyx. AJNR Am J Neuroradiol 40 : 2130-2136, 2019. 12) Gross BA, Albuquerque FC, Moon K, McDougall CG : Evolution of treatment and a detailed analysis of occlusion, recurrence, and clinical outcomes in an endovascular library of 260 dural arteriovenous fistulas. J Neurosurg 126 : 1884-1893, 2017. 28) Sundt TM Jr, Piepgras DG : The surgical approach to arteriovenous malformations of the lateral and sigmoid dural sinuses. J Neurosurg 59 : 32-39, 1983. 1) Abud TG, Nguyen A, Saint-Maurice JP, Abud DG, Bresson D, Chiumarulo L, Enesi E, Houdart E : The use of Onyx in different types of intracranial dural arteriovenous fistula. AJNR Am J Neuroradiol 32 : 2185-2191, 2011. 19) Levrier O, Metellus P, Fuentes S, Manera L, Dufour H, Donnet A, Grisoli F, Bartoli JM, Girard N : Use of a self-expanding stent with balloon angioplasty in the treatment of dural arteriovenous fistulas involving the transverse and/or sigmoid sinus : functional and neuroimaging-based outcome in 10 patients. J Neurosurg 104 : 254-263, 2006. 17) Kerolus MG, Chung J, Munich SA, Matsuda Y, Okada H, Lopes DK : An Onyx tunnel : reconstructive transvenous balloon-assisted Onyx embolization for dural arteriovenous fistula of the transverse-sigmoid sinus. J Neurosurg 129 : 922-927, 2018. 18) Lalwani AK, Dowd CF, Halbach VV : Grading venous restrictive disease in patients with dural arteriovenous fistulas of the transverse/sigmoid sinus. J Neurosurg 79 : 11-15, 1993. 6) Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, Chiras J, Merland JJ : Cerebral dural arteriovenous fistulas : clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194 : 671-680, 1995. 20) Lv X, Jiang C, Zhang J, Li Y, Wu Z : Complications related to percutaneous transarterial embolization of intracranial dural arteriovenous fistulas in 40 patients. AJNR Am J Neuroradiol 30 : 462-468, 2009. 15) Houser OW, Campbell JK, Campbell RJ, Sundt TM Jr : Arteriovenous malformation affecting the transverse dural venous sinus―an acquired lesion. Mayo Clin Proc 54 : 651-661, 1979. 30) Tanaka M : Embryological consideration of dural AVFs in relation to the neural rest and the mesoderm. Neurointervention 14 : 9-16, 2019. 5) Chaudhary MY, Sachdev VP, Cho SH, Weitzner I Jr, Puljic S, Huang YP : Dural arteriovenous malformation of the major venous sinuses : An acquired lesion. AJNR Am J Neuroradiol 3 : 13-19, 1982. 21) Newton TH, Cronqvist S : Involvement of dural arteries in intracranial arteriovenous malformations. Radiology 93 : 1071-1078, 1969. 23) Nogueira RG, Dabus G, Rabinov JD, Eskey CJ, Ogilvy CS, Hirsch JA, Pryor JC : Preliminary experience with onyx embolization for the treatment of intracranial dural arteriovenous fistulas. AJNR Am J Neuroradiol 29 : 91-97, 2008. 26) Satomi J, van Dijk JM, Terbrugge KG, Willinsky RA, Wallace MC : Benign cranial dural arteriovenous fistulas : outcome of conservative management based on the natural history of the lesion. J Neurosurg 97 : 767-770, 2002. 8) Djindjian R, Merland JJ : Superselective Arteriography of the External Carotid Artery. Berlin/Heidelberg/New York, Springer, 1978. 11) Gross BA, Du R : The natural history of cerebral dural arteriovenous fistulae. Neurosurgery 71 : 594-602, 2012. 24) Piechowiak E, Zibold F, Dobrocky T, Mosimann PJ, Bervini D, Raabe A, Gralla J, Mordasini P : Endovascular treatment of dural arteriovenous fistulas of the transverse and sigmoid sinuses using transarterial balloon-assisted embolization combined with transvenous balloon protection of the venous sinus. AJNR Am J Neuroradiol 38 : 1984-1989, 2017. 16) Kerber CW, Newton TH : The macro and microvasculature of the dura mater. Neuroradiology 6 : 175-179, 1973. 13) Halbach VV, Higashida RT, Hieshima GB, Goto K, Norman D, Newton TH : Dural fistulas involving the transverse and sigmoid sinuses : Results of treatment in 28 patients. Radiology 163 : 443-447, 1987. 14) Halbach VV, Higashida RT, Hieshima GB, Mehringer CM, Hardin CW : Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses. AJNR Am J Neuroradiol 10 : 385-392, 1989. |
| References_xml | – reference: 6) Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, Chiras J, Merland JJ : Cerebral dural arteriovenous fistulas : clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194 : 671-680, 1995. – reference: 9) Ertl L, Bruckmann H, Kunz M, Crispin A, Fesl G : Endovascular therapy of low- and intermediate-grade intracranial lateral dural arteriovenous fistulas : a detailed analysis of primary success rates, complication rates, and long-term follow-up of different technical approaches. J Neurosurg 126 : 360-367, 2017. – reference: 14) Halbach VV, Higashida RT, Hieshima GB, Mehringer CM, Hardin CW : Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses. AJNR Am J Neuroradiol 10 : 385-392, 1989. – reference: 15) Houser OW, Campbell JK, Campbell RJ, Sundt TM Jr : Arteriovenous malformation affecting the transverse dural venous sinus―an acquired lesion. Mayo Clin Proc 54 : 651-661, 1979. – reference: 2) Baltsavias G, Parthasarathi V, Aydin E, Al Schameri RA, Roth P, Valavanis A : Cranial dural arteriovenous shunts. Part 1. Anatomy and embryology of the bridging and emissary veins. Neurosurg Rev 38 : 253-264, 2015. – reference: 11) Gross BA, Du R : The natural history of cerebral dural arteriovenous fistulae. Neurosurgery 71 : 594-602, 2012. – reference: 19) Levrier O, Metellus P, Fuentes S, Manera L, Dufour H, Donnet A, Grisoli F, Bartoli JM, Girard N : Use of a self-expanding stent with balloon angioplasty in the treatment of dural arteriovenous fistulas involving the transverse and/or sigmoid sinus : functional and neuroimaging-based outcome in 10 patients. J Neurosurg 104 : 254-263, 2006. – reference: 24) Piechowiak E, Zibold F, Dobrocky T, Mosimann PJ, Bervini D, Raabe A, Gralla J, Mordasini P : Endovascular treatment of dural arteriovenous fistulas of the transverse and sigmoid sinuses using transarterial balloon-assisted embolization combined with transvenous balloon protection of the venous sinus. AJNR Am J Neuroradiol 38 : 1984-1989, 2017. – reference: 25) Sadeh-Gonike U, Magand N, Armoiry X, Riva R, Labeyrie PE, Lamy B, Lukaszewicz AC, Lehot JJ, Turjiman F, Gory B : Transarterial Onyx embolization of intracranial dural fistulas : a prospective cohort, systematic review, and meta-analysis. Neurosurgery 82 : 854-863, 2018. – reference: 1) Abud TG, Nguyen A, Saint-Maurice JP, Abud DG, Bresson D, Chiumarulo L, Enesi E, Houdart E : The use of Onyx in different types of intracranial dural arteriovenous fistula. AJNR Am J Neuroradiol 32 : 2185-2191, 2011. – reference: 26) Satomi J, van Dijk JM, Terbrugge KG, Willinsky RA, Wallace MC : Benign cranial dural arteriovenous fistulas : outcome of conservative management based on the natural history of the lesion. J Neurosurg 97 : 767-770, 2002. – reference: 21) Newton TH, Cronqvist S : Involvement of dural arteries in intracranial arteriovenous malformations. Radiology 93 : 1071-1078, 1969. – reference: 16) Kerber CW, Newton TH : The macro and microvasculature of the dura mater. Neuroradiology 6 : 175-179, 1973. – reference: 8) Djindjian R, Merland JJ : Superselective Arteriography of the External Carotid Artery. Berlin/Heidelberg/New York, Springer, 1978. – reference: 5) Chaudhary MY, Sachdev VP, Cho SH, Weitzner I Jr, Puljic S, Huang YP : Dural arteriovenous malformation of the major venous sinuses : An acquired lesion. AJNR Am J Neuroradiol 3 : 13-19, 1982. – reference: 29) Taki W, Yonekawa Y, Iwata H, Uno A, Yamashita K, Amemiya H : A new liquid material for embolization of arteriovenous malformations. AJNR Am J Neuroradiol 11 : 163-168, 1991. – reference: 4) Borden JA, Wu JK, Shucart WA : A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82 : 166-179, 1995. – reference: 18) Lalwani AK, Dowd CF, Halbach VV : Grading venous restrictive disease in patients with dural arteriovenous fistulas of the transverse/sigmoid sinus. J Neurosurg 79 : 11-15, 1993. – reference: 22) 日本脳卒中学会 脳卒中ガイドライン委員会 : 脳卒中治療ガイドライン2015. 東京, 協和企画, 2015, pp.165-168. – reference: 20) Lv X, Jiang C, Zhang J, Li Y, Wu Z : Complications related to percutaneous transarterial embolization of intracranial dural arteriovenous fistulas in 40 patients. AJNR Am J Neuroradiol 30 : 462-468, 2009. – reference: 7) Cognard C, Januel AC, Silva NA Jr, Tall P : Endovascular treatment of intracranial dural arteriovenous fistulas with cortical venous drainage : New management using Onyx. AJNR Am J Neuroradiol 29 : 235-241, 2008. – reference: 23) Nogueira RG, Dabus G, Rabinov JD, Eskey CJ, Ogilvy CS, Hirsch JA, Pryor JC : Preliminary experience with onyx embolization for the treatment of intracranial dural arteriovenous fistulas. AJNR Am J Neuroradiol 29 : 91-97, 2008. – reference: 13) Halbach VV, Higashida RT, Hieshima GB, Goto K, Norman D, Newton TH : Dural fistulas involving the transverse and sigmoid sinuses : Results of treatment in 28 patients. Radiology 163 : 443-447, 1987. – reference: 3) Baltsavias G, Roth P, Valavanis A : Cranial dural arteriovenous shunts. Part 3. Classification based on the leptomeningeal venous drainage. Neurosurg Rev 38 : 273-281, 2015. – reference: 27) Shah MN, Botros JA, Pilgram TK, Moran CJ, Cross DT 3rd, Chicoine MR, Rich KM, Dacey Jr RG, Derdeyn CP, Zipfel GJ : Borden-Shucart Type Ⅰ dural arteriovenous fistulas : clinical course including risk of conversion to higher-grade fistulas. J Neurosurg 117 : 539-545, 2012. – reference: 28) Sundt TM Jr, Piepgras DG : The surgical approach to arteriovenous malformations of the lateral and sigmoid dural sinuses. J Neurosurg 59 : 32-39, 1983. – reference: 10) Geibprasert S, Pereira V, Krings T, Jiarakongmun P, Toulgoat F, Pongpech S, Lasjaunias P : Dural arteriovenous shunts : a new classification of craniospinal epidural venous anatomical bases and clinical correlations. Stroke 39 : 2783-2794, 2008. – reference: 30) Tanaka M : Embryological consideration of dural AVFs in relation to the neural rest and the mesoderm. Neurointervention 14 : 9-16, 2019. – reference: 12) Gross BA, Albuquerque FC, Moon K, McDougall CG : Evolution of treatment and a detailed analysis of occlusion, recurrence, and clinical outcomes in an endovascular library of 260 dural arteriovenous fistulas. J Neurosurg 126 : 1884-1893, 2017. – reference: 17) Kerolus MG, Chung J, Munich SA, Matsuda Y, Okada H, Lopes DK : An Onyx tunnel : reconstructive transvenous balloon-assisted Onyx embolization for dural arteriovenous fistula of the transverse-sigmoid sinus. J Neurosurg 129 : 922-927, 2018. – reference: 31) Vollherbst DF, Herweh C, Schonenberger S, Seker F, Nagel S, Ringleb PA, Bendszus M, Mohlenbruch MA : The influence of angioarchitectural features on the success of endovascular embolization of cranial dural arteriovenous fistulas with Onyx. AJNR Am J Neuroradiol 40 : 2130-2136, 2019. |
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| Snippet | DAVFに対して適切な治療を行うには, 病態と血管構築を理解することが重要である. DAVFの発症形式は, 部位やvenous drainage patternによって多様であり, 自然歴を考慮した治療計画が求められる. 画像診断法, カテーテル,... |
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| Title | 硬膜動静脈瘻の病態と治療 |
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