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Estimation of the number of feeding arteries of spinal arteriovenous malformations by using three-dimensional digital subtraction angiography

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Abstract

Purpose

Spinal angiography is the gold standard for evaluation or diagnosis of spinal arteriovenous malformations (AVMs). However, some feeding arteries might be overlooked when multiple feeders exist. This study aimed to retrospectively review cases of spinal intra-dural AVMs, which were identified by three-dimensional digital subtraction angiography (3D-DSA), and attempted to estimate the number of feeding arteries.

Methods

We retrospectively reviewed patients with spinal intra-dural AVMs who underwent 3D-DSA at Hokkaido University Hospital from January 2005 to December 2016. We selected 9 patients in whom we could obtain data of multi-planar reconstruction of 3D-DSA. We measured the computed tomography (CT) values of feeding arteries and draining veins. The CT values represented the averages of maximum CT values of 5 continuous axial slices. The ratio of the CT value of feeders to that of drainers (F/D ratio) was calculated. The correlation between the F/D ratio and the number of feeders was examined with Pearson’s correlation coefficient.

Results

The average number of feeders was 2.3 (1–4), and the number of feeders was significantly positively correlated with the F/D ratio (r = 0.855, P = .003).

Conclusions

We conclude that the number of feeding arteries of spinal intra-dural AVMs can be estimated by using the F/D ratio obtained from 3D-DSA.

Graphical abstract

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References

  1. Singh B, Behari S, Jaiswal AK, Sahu RN, Mehrotra A, Mohan BM, Phadke RV (2016) Spinal arteriovenous malformations: is surgery indicated? Asian J Neurosurg 11:134–142

    Article  PubMed  PubMed Central  Google Scholar 

  2. Prestigiacomo CJ, Niimi Y, Setton A, Berenstein A (2003) Three-dimensional rotational spinal angiography in the evaluation and treatment of vascular malformations. AJNR Am J Neuroradiol 24:1429–1435

    PubMed  Google Scholar 

  3. Schueler BA, Kallmes DF, Cloft HJ (2005) 3D cerebral angiography: radiation dose comparison with digital subtraction angiography. AJNR Am J Neuroradiol 26:1898–1901

    PubMed  Google Scholar 

  4. Tsapaki V, Vano E, Mavrikou I, Nueofotistou V, Gallego JJ, Fernandez JM, Santos E, Mendez J (2008) Comparison of patient dose in two-dimensional carotid arteriography and three-dimensional rotational angiography. Cardiovasc Intervent Radiol 31:477–482

    Article  PubMed  Google Scholar 

  5. Tonkopi E, Al-Habsi AH, Shankar JJ (2015) Radiation dose from 3D rotational vs. conventional 2D digital subtraction angiography in intracranial aneurysm coiling. Can J Neurol Sci 42:176–180

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan

    Soichiro Takamiya, Toshiya Osanai, Toshitaka Seki, Kazuyoshi Yamazaki, Shuji Hamauchi, Shunsuke Terasaka & Kiyohiro Houkin

  2. Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Sapporo, Japan

    Noriyuki Fujima

  3. Department of Neurosurgery, Sapporo Azabu Neurosurgical Hospital, Sapporo, Japan

    Kazutoshi Hida & Toru Sasamori

  4. Department of Neuroendovascular, Chiba Medical Center, Chiba, Japan

    Takeshi Asano

  5. Clinical Research and Medical Innovation Center, Hokkaido University Hospital, Sapporo, Hokkaido, Japan

    Kota Ono

Authors
  1. Soichiro Takamiya
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  2. Toshiya Osanai
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  3. Toshitaka Seki
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  4. Noriyuki Fujima
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  5. Kazutoshi Hida
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  6. Takeshi Asano
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  7. Kazuyoshi Yamazaki
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  8. Shuji Hamauchi
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  9. Toru Sasamori
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  10. Kota Ono
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  11. Shunsuke Terasaka
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  12. Kiyohiro Houkin
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Corresponding author

Correspondence to Toshiya Osanai.

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Conflict of interest

None of the authors has any potential conflict of interest.

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Cite this article

Takamiya, S., Osanai, T., Seki, T. et al. Estimation of the number of feeding arteries of spinal arteriovenous malformations by using three-dimensional digital subtraction angiography. Eur Spine J 28, 842–848 (2019). https://doi.org/10.1007/s00586-018-5852-1

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  • DOI: https://doi.org/10.1007/s00586-018-5852-1

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