Observation versus intervention for Borden type I intracranial dural arteriovenous fistula: A pooled analysis of 469 patients.
Publication/Presentation Date
4-1-2024
Abstract
BACKGROUND: While it is thought that Borden Type I intracranial dural arteriovenous fistula (dAVF) have a benign clinical course, their management remains controversial.
METHODS: A comparative meta-analysis was completed to evaluate the outcomes of intervention verses observation of Borden Type I intracranial dAVF. Outcome measures included: grade progression, worsening symptoms, death due to dAVF, permanent complications other than death, functional independence (mRS 0-2), and rate of death combined with permanent complication, were evaluated. Risk differences (RD) were determined using a random effects model.
RESULTS: Three comparative studies combined with the authors' institutional experience resulted in a total of 469 patients, with 279 patients who underwent intervention and 190 who were observed. There was no significant difference in dAVF grade progression between the intervention and observation arms, 1.8% vs. 0.7%, respectively (RD: 0.01, 95% CI: -0.02 to 0.04,
CONCLUSION: Intervention of Borden Type I dAVF results in a higher risk of death or permanent complication, which should be strongly considered when deciding on management of these lesions.
Volume
30
Issue
2
First Page
175
Last Page
182
ISSN
2385-2011
Published In/Presented At
Schartz, D., Rahmani, R., Gunturi, A., Kohli, G. S., Akkipeddi, S. M. K., Ellens, N. R., Romiyo, P., Kessler, A., Bhalla, T., Mattingly, T. K., & Bender, M. T. (2024). Observation versus intervention for Borden type I intracranial dural arteriovenous fistula: A pooled analysis of 469 patients. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 30(2), 175–182. https://doi.org/10.1177/15910199221127070
Disciplines
Medicine and Health Sciences
PubMedID
36113111
Department(s)
Department of Surgery
Document Type
Article