Feasibility, safety, and efficacy of endovascular treatment of anterior cranial fossa dural arteriovenous fistulas: a systematic review and meta-analysis with a subanalysis for Onyx

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Autor(es): dc.contributorNinth July University-
Autor(es): dc.contributorFatih Sultan Mehmet Training and Research Hospital-
Autor(es): dc.contributorFederal University of Rio de Janeiro-
Autor(es): dc.contributorSalvador University-
Autor(es): dc.contributorState University of Ponta Grossa-
Autor(es): dc.contributorBahiana School of Medicine and Public Health-
Autor(es): dc.contributorSub-Saharan Africa Brain Health Initiative (SSABHI)-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorPaulo Niemeyer State Brain Institute-
Autor(es): dc.contributorLenox Hill Hospital-
Autor(es): dc.contributorCHU de Saint Etienne-
Autor(es): dc.creatorFerreira, Marcio Yuri-
Autor(es): dc.creatorGunkan, Ahmet-
Autor(es): dc.creatorBatista, Savio-
Autor(es): dc.creatorPorto, Mauricio-
Autor(es): dc.creatorCamerotte, Raphael-
Autor(es): dc.creatorde Barros Oliveira, Leonardo-
Autor(es): dc.creatorPorto Junior, Silvio-
Autor(es): dc.creatorOkoye, Obiora-
Autor(es): dc.creatorda Fonseca, Igor Oliveira-
Autor(es): dc.creatorBertani, Raphael-
Autor(es): dc.creatorTanus Machado, Elias Antonio-
Autor(es): dc.creatorFerreira, Christian-
Autor(es): dc.creatorLanger, David-
Autor(es): dc.creatorCiccio, Gabriele-
Autor(es): dc.creatorSerulle, Yafell-
Data de aceite: dc.date.accessioned2025-08-21T17:23:17Z-
Data de disponibilização: dc.date.available2025-08-21T17:23:17Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-11-30-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1007/s10143-024-02446-5-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/306481-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/306481-
Descrição: dc.descriptionDural Arteriovenous Fistulas (dAVFs) of the anterior cranial fossa (ACF) are uncommon but carry a high risk of hemorrhage and pose substantial treatment challenges. Recent advancements in endovascular treatment (EVT), including the introduction of novel liquid embolic agents, have markedly bolstered EVT’s role in managing ACF-dAVFs, with notable series published in the last five years. We aimed to assess the feasibility, safety, and efficacy of EVT for ACF-dAVFs. We searched Medline, Scopus, Web of Science, and Cochrane Library databases following PRISMA guidelines. Eligible studies included those with ≥ 5 patients undergoing embolization of ACF-dAVFs, detailing both angiographic and clinical outcomes. We used single proportion analysis with 95% confidence intervals under a random-effects model, I2 to assess heterogeneity, and Baujat and sensitivity analysis to address high heterogeneity. Publication bias was assessed by funnel-plot analysis and Egger’s test. Outcomes included complete occlusion following embolization, unsuccessful endovascular embolization attempts, incomplete occlusion following embolization, symptom resolution or clinical improvement following embolization, recurrence; procedure-related complications, morbidity, and mortality. Additionally, a subanalysis for studies exclusively utilizing Onyx™ embolic system was done. Eighteen studies comprising 231 ACF-dAVF were included. Unsuccessful endovascular embolization attempts rate was 2%. Complete occlusion rate was 85%, with 4% of complications. Incomplete occlusion rate was 10%. Successfully embolized patients experienced either symptom resolution or clinical improvement in 94% of cases. Morbidity and mortality rates were 1% and 0%, respectively. Onyx subanalyses showed an overall rate of 0% for unsuccessful attempts, 95% for complete occlusion, and 5% for incomplete occlusion. Symptom resolution or clinical improvement was 98% and recurrence rate was 0%. EVT for ACF-dAVF is highly feasible, effective, and safe, with a low rate of complications, morbidity, and mortality. The subanalyses focusing on Onyx embolizations revealed superior efficacy and safety outcomes compared to the findings of the primary analyses involving all included studies.-
Descrição: dc.descriptionFaculty of Medicine Ninth July University, SP-
Descrição: dc.descriptionDepartment of Radiology Fatih Sultan Mehmet Training and Research Hospital-
Descrição: dc.descriptionFaculty of Medicine Federal University of Rio de Janeiro, RJ-
Descrição: dc.descriptionFaculty of Medicine Salvador University, Bahia-
Descrição: dc.descriptionState University of Ponta Grossa, PR-
Descrição: dc.descriptionBahiana School of Medicine and Public Health, BA-
Descrição: dc.descriptionSub-Saharan Africa Brain Health Initiative (SSABHI)-
Descrição: dc.descriptionClinical Hospital of São Paulo State University, SP-
Descrição: dc.descriptionDepartment of Neurosurgery University of São Paulo, SP-
Descrição: dc.descriptionDepartment of Endovascular Neurosurgery Paulo Niemeyer State Brain Institute, RJ-
Descrição: dc.descriptionDepartment of Neurosurgery Lenox Hill Hospital-
Descrição: dc.descriptionDepartment of Radiology CHU de Saint Etienne-
Descrição: dc.descriptionClinical Hospital of São Paulo State University, SP-
Idioma: dc.languageen-
Relação: dc.relationNeurosurgical Review-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectAnterior cranial fossa-
Palavras-chave: dc.subjectDural arteriovenous fistula-
Palavras-chave: dc.subjectEmbolization-
Palavras-chave: dc.subjectEndovascular-
Palavras-chave: dc.subjectEthmoidal-
Palavras-chave: dc.subjectOnyx-
Título: dc.titleFeasibility, safety, and efficacy of endovascular treatment of anterior cranial fossa dural arteriovenous fistulas: a systematic review and meta-analysis with a subanalysis for Onyx-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

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