Journal article
The VEBAS score: a practical scoring system for intracranial dural arteriovenous fistula obliteration
Journal of neurointerventional surgery, Vol.16(3), pp.272-279
05/02/2023
DOI: 10.1136/jnis-2023-020282
PMID: 37130751
Abstract
BackgroundTools predicting intracranial dural arteriovenous fistulas (dAVFs) treatment outcomes remain scarce. This study aimed to use a multicenter database comprising more than 1000 dAVFs to develop a practical scoring system that predicts treatment outcomes.MethodsPatients with angiographically confirmed dAVFs who underwent treatment within the Consortium for Dural Arteriovenous Fistula Outcomes Research-participating institutions were retrospectively reviewed. A subset comprising 80% of patients was randomly selected as training dataset, and the remaining 20% was used for validation. Univariable predictors of complete dAVF obliteration were entered into a stepwise multivariable regression model. The components of the proposed score (VEBAS) were weighted based on their ORs. Model performance was assessed using receiver operating curves (ROC) and areas under the ROC.ResultsA total of 880 dAVF patients were included. Venous stenosis (presence vs absence), elderly age (<75 vs ≥75 years), Borden classification (I vs II-III), arterial feeders (single vs multiple), and past cranial surgery (presence vs absence) were independent predictors of obliteration and used to derive the VEBAS score. A significant increase in the likelihood of complete obliteration (OR=1.37 (1.27–1.48)) with each additional point in the overall patient score (range 0–12) was demonstrated. Within the validation dataset, the predicted probability of complete dAVF obliteration increased from 0% with a 0–3 score to 72–89% for patients scoring ≥8.ConclusionThe VEBAS score is a practical grading system that can guide patient counseling when considering dAVF intervention by predicting the likelihood of treatment success, with higher scores portending a greater likelihood of complete obliteration.
Details
- Title: Subtitle
- The VEBAS score: a practical scoring system for intracranial dural arteriovenous fistula obliteration
- Creators
- Andrea Becerril-Gaitan - The University of Texas Health Science Center at HoustonDale Ding - University of LouisvilleNatasha Ironside - University of Virginia Health SystemThomas J Buell - University of PittsburghAkash P Kansagra - Washington University in St. LouisGiuseppe Lanzino - Mayo ClinicWaleed Brinjikji - Mayo Clinic in ArizonaLouis Kim - University of WashingtonMichael R Levitt - University of WashingtonIsaac Josh Abecassis - University of LouisvilleDiederik Bulters - University of SouthamptonAndrew Durnford - University of SouthamptonW Christopher Fox - Mayo Clinic in FloridaSpiros Blackburn - The University of Texas Health Science Center at HoustonPeng Roc Chen - The University of Texas Health Science Center at HoustonAdam J Polifka - University of FloridaDimitri Laurent - University of FloridaBradley Gross - University of PittsburghMinako Hayakawa - University of IowaColin Derdeyn - University of Iowa Hospitals and ClinicsSepideh Amin-Hanjani - University Hospitals of ClevelandAli Alaraj - University of Illinois ChicagoJ Marc C van Dijk - University of GroningenAdriaan R E Potgieser - University of GroningenRobert M Starke - University of MiamiEric C Peterson - University of MiamiJunichiro Satomi - Tokushima UniversityYoshiteru Tada - Tokushima UniversityAdib A Abla - University of California, San FranciscoEthan A Winkler - University of California, San FranciscoRose Du - Brigham and Women's HospitalPui Man Rosalind Lai - Brigham and Women's HospitalGregory J Zipfel - Washington University in St. LouisChing-Jen Chen - The University of Texas Health Science Center at HoustonJason P Sheehan - University of Virginia Health SystemCONDOR investigators
- Resource Type
- Journal article
- Publication Details
- Journal of neurointerventional surgery, Vol.16(3), pp.272-279
- DOI
- 10.1136/jnis-2023-020282
- PMID
- 37130751
- NLM abbreviation
- J Neurointerv Surg
- ISSN
- 1759-8478
- eISSN
- 1759-8486
- Publisher
- BMJ Publishing Group Ltd
- Language
- English
- Electronic publication date
- 05/02/2023
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984400638602771
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