Intracranial arteriovenous malformation: Contralateral steal phenomena

H. H. Batjer; M. D. Devous; G. B. Seibert; P. D. Purdy; A. K. Ajmani; M. Delarosa; F. J. Bonte

doi:10.2176/nmc.29.401

Intracranial arteriovenous malformation: Contralateral steal phenomena

H. H. Batjer, M. D. Devous, G. B. Seibert, P. D. Purdy, A. K. Ajmani, M. Delarosa, F. J. Bonte

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

Sixty-two patients with radiographically proven intracranial arteriovenous malformations underwent preoperative regional cerebral blood flow measurement with ¹³³Xe single-photon emission computed tomography. Contralateral regions of hypoperfusion were detected in all cases. Steal severity was assessed according to the contralateral steal index [ISteal(c)]. ISteal(c) was <0.7 (severe) in 22 (35%), 0.7-0.8 (intermediate) in 18 (29%), and >0.8 (mild) in 22 (35%). ISteal(c) was more frequently severe or mild in females and more often intermediate in males (p < 0.05). Hyperemic complications were encountered more frequently in patients with intermediate ISteal(c) (p = 0.086). An unfavorable outcome was associated with less severe contralateral steal (p = 0.12). A detailed clinical, radiographic, and hemodynamic profile may help to preoperatively identify patients at high risk for a poor surgical outcome.

Original language	English (US)
Pages (from-to)	401-406
Number of pages	6
Journal	Neurologia Medico-Chirurgica
Volume	29
Issue number	5
DOIs	https://doi.org/10.2176/nmc.29.401
State	Published - 1989

Keywords

arteriovenous malformation
cerebral blood flow
cerebrovascular steal

ASJC Scopus subject areas

Surgery
Clinical Neurology

Access to Document

10.2176/nmc.29.401

Cite this

@article{6b7f2f08c59a41319878094f7214fec3,

title = "Intracranial arteriovenous malformation: Contralateral steal phenomena",

abstract = "Sixty-two patients with radiographically proven intracranial arteriovenous malformations underwent preoperative regional cerebral blood flow measurement with 133Xe single-photon emission computed tomography. Contralateral regions of hypoperfusion were detected in all cases. Steal severity was assessed according to the contralateral steal index [ISteal(c)]. ISteal(c) was <0.7 (severe) in 22 (35%), 0.7-0.8 (intermediate) in 18 (29%), and >0.8 (mild) in 22 (35%). ISteal(c) was more frequently severe or mild in females and more often intermediate in males (p < 0.05). Hyperemic complications were encountered more frequently in patients with intermediate ISteal(c) (p = 0.086). An unfavorable outcome was associated with less severe contralateral steal (p = 0.12). A detailed clinical, radiographic, and hemodynamic profile may help to preoperatively identify patients at high risk for a poor surgical outcome.",

keywords = "arteriovenous malformation, cerebral blood flow, cerebrovascular steal",

author = "Batjer, {H. H.} and Devous, {M. D.} and Seibert, {G. B.} and Purdy, {P. D.} and Ajmani, {A. K.} and M. Delarosa and Bonte, {F. J.}",

year = "1989",

doi = "10.2176/nmc.29.401",

language = "English (US)",

volume = "29",

pages = "401--406",

journal = "Neurologia Medico-Chirurgica",

issn = "0470-8105",

publisher = "Japan Neurosurgical Society",

number = "5",

}

TY - JOUR

T1 - Intracranial arteriovenous malformation

T2 - Contralateral steal phenomena

AU - Batjer, H. H.

AU - Devous, M. D.

AU - Seibert, G. B.

AU - Purdy, P. D.

AU - Ajmani, A. K.

AU - Delarosa, M.

AU - Bonte, F. J.

PY - 1989

Y1 - 1989

N2 - Sixty-two patients with radiographically proven intracranial arteriovenous malformations underwent preoperative regional cerebral blood flow measurement with 133Xe single-photon emission computed tomography. Contralateral regions of hypoperfusion were detected in all cases. Steal severity was assessed according to the contralateral steal index [ISteal(c)]. ISteal(c) was <0.7 (severe) in 22 (35%), 0.7-0.8 (intermediate) in 18 (29%), and >0.8 (mild) in 22 (35%). ISteal(c) was more frequently severe or mild in females and more often intermediate in males (p < 0.05). Hyperemic complications were encountered more frequently in patients with intermediate ISteal(c) (p = 0.086). An unfavorable outcome was associated with less severe contralateral steal (p = 0.12). A detailed clinical, radiographic, and hemodynamic profile may help to preoperatively identify patients at high risk for a poor surgical outcome.

AB - Sixty-two patients with radiographically proven intracranial arteriovenous malformations underwent preoperative regional cerebral blood flow measurement with 133Xe single-photon emission computed tomography. Contralateral regions of hypoperfusion were detected in all cases. Steal severity was assessed according to the contralateral steal index [ISteal(c)]. ISteal(c) was <0.7 (severe) in 22 (35%), 0.7-0.8 (intermediate) in 18 (29%), and >0.8 (mild) in 22 (35%). ISteal(c) was more frequently severe or mild in females and more often intermediate in males (p < 0.05). Hyperemic complications were encountered more frequently in patients with intermediate ISteal(c) (p = 0.086). An unfavorable outcome was associated with less severe contralateral steal (p = 0.12). A detailed clinical, radiographic, and hemodynamic profile may help to preoperatively identify patients at high risk for a poor surgical outcome.

KW - arteriovenous malformation

KW - cerebral blood flow

KW - cerebrovascular steal

UR - http://www.scopus.com/inward/record.url?scp=0024322937&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024322937&partnerID=8YFLogxK

U2 - 10.2176/nmc.29.401

DO - 10.2176/nmc.29.401

M3 - Article

C2 - 2477740

AN - SCOPUS:0024322937

SN - 0470-8105

VL - 29

SP - 401

EP - 406

JO - Neurologia Medico-Chirurgica

JF - Neurologia Medico-Chirurgica

IS - 5

ER -

Intracranial arteriovenous malformation: Contralateral steal phenomena

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this