Journal article
Outcome Following Hemorrhage From Cranial Dural Arteriovenous Fistulae Analysis of the Multicenter International CONDOR Registry
Stroke (1970), Vol.52(10), pp.E610-E613
10/01/2021
DOI: 10.1161/STROKEAHA.121.034707
PMCID: PMC8478891
PMID: 34433307
Abstract
Background and Purpose: Dural arteriovenous fistulae can present with hemorrhage, but there remains a paucity of data regarding subsequent outcomes. We sought to use the CONDOR (Consortium for Dural Arteriovenous Fistula Outcomes Research), a multi-institutional registry, to characterize the morbidity and mortality of dural arteriovenous fistula-related hemorrhage. Methods: A retrospective review of patients in CONDOR who presented with dural arteriovenous fistula-related hemorrhage was performed. Patient characteristics, clinical follow-up, and radiographic details were analyzed for associations with poor outcome (defined as modified Rankin Scale score >= 3). Results: The CONDOR dataset yielded 262 patients with incident hemorrhage, with median follow-up of 1.4 years. Poor outcome was observed in 17.0% (95% CI, 12.3%-21.7%) at follow-up, including a 3.6% (95% CI, 1.3%-6.0%) mortality. Age and anticoagulant use were associated with poor outcome on multivariable analysis (odds ratio, 1.04, odds ratio, 5.1 respectively). Subtype of hemorrhage and venous shunting pattern of the lesion did not affect outcome significantly. Conclusions: Within the CONDOR registry, dural arteriovenous fistula-related hemorrhage was associated with a relatively lower morbidity and mortality than published outcomes from other arterialized cerebrovascular lesions but still at clinically consequential rates.
Details
- Title: Subtitle
- Outcome Following Hemorrhage From Cranial Dural Arteriovenous Fistulae Analysis of the Multicenter International CONDOR Registry
- Creators
- Matthew J. Koch - University of Illinois at ChicagoChristopher J. Stapleton - Massachusetts General HospitalRidhima Guniganti - Washington University in St. LouisGiuseppe Lanzino - Department of Neurosurgery (G.L.), Mayo Clinic, Rochester, MN.Jason Sheehan - University of VirginiaAli Alaraj - University of Illinois at ChicagoDiederik Bulters - University Hospital Southampton NHS Foundation TrustLouis Kim - University of WashingtonW. Christopher Fox - Department of Neurosurgery, Mayo Clinic, Jacksonville, FL (W.C.F.).Bradley A. Gross - University of PittsburghMinako Hayakawa - University of IowaJ. Marc C. van DijK - University of GroningenRobert M. Starke - University of MiamiJunichiro Satomi - Tokushima UniversityAdam J. Polifka - University of FloridaGregory J. Zipfel - Washington University School of MedicineSepideh Amin-Hanjani - University of Illinois ChicagoCONDOR Consortium
- Resource Type
- Journal article
- Publication Details
- Stroke (1970), Vol.52(10), pp.E610-E613
- DOI
- 10.1161/STROKEAHA.121.034707
- PMID
- 34433307
- PMCID
- PMC8478891
- NLM abbreviation
- Stroke
- ISSN
- 0039-2499
- eISSN
- 1524-4628
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 4
- Grant note
- UL1TR000448; TL1TR000449 / Washington University Institute of Clinical and Translational Sciences from the National Center for Advancing Translational Sciences
- Language
- English
- Date published
- 10/01/2021
- Academic Unit
- Neurology; Radiology
- Record Identifier
- 9984302200202771
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