Table 2.
Treatment characteristics and outcome parameters
| Treatment characteristics | ||||||
| Number of treatments | 55 | |||||
| Treatments per DAVF | One treatment per DAVF 96.4% |
Two treatments per DAVF 3.6% |
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| Formulation of Squid | Squid 12 32.7% |
Squid 18 83.6% |
Squid 18 LD 1.8% |
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| Volume of Squid per embolization (mL) | 1.3±1.2 (0.1–7.5) |
|||||
| Artery selected for embolization | Middle meningeal a 66.1% |
Occipital a 14.3% |
Ascending pharyngeal a 7.1% |
Pial a 5.4% |
Posterior meningeal a 3.6% |
Superficial temporal a 3.6% |
| Microcatheter used for embolization | Marathon 61.1% |
Scepter XC 13.9% |
Apollo 11.1% |
Sonic 5.6% |
Others 8.3% |
|
| Accessory devices | Balloon-assisted embolization 21.8% |
Balloon-assisted protection* 5.5% |
Coiling† 5.5% |
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| Duration of the procedure (min) | 125±51 (40–235) |
|||||
| Morbidity and adverse events‡ | |||||||
| mRS score at follow-up§ | 0 55.8% |
1 20.9% |
2 9.3% |
3 4.7% |
4 4.7% |
5 2.3% |
6 2.3% |
| Morbidity at 90 to 180 days§ | Overall rate of mRS score decline 7.0% |
mRS score decline related to the procedure 2.3% |
|||||
| Frequency of adverse events | Overall 18.2% |
Intraprocedural 3.6% |
Postprocedural 14.6% |
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| Specification of adverse events | Seizure 3.6% |
Groin hematoma 3.6% |
Pulmonary embolism 1.8% |
Pneumonia 1.8% |
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| Dissection 1.8% |
Microcatheter rupture 1.8% |
Visual disturbances 1.8% |
Intracranial hemorrhage 1.8% |
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| Adverse event severity | Mild 5.5% |
Moderate 7.3% |
Severe 1.8% |
Life-threatening 3.6% |
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| Relatedness of adverse events | Not related to Squid 12.7% |
Probably related to Squid 0% |
Definitely related to Squid 5.5% |
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| Not related to procedure 5.5% |
Probably related to procedure 1.8% |
Definitely related to procedure 10.9% |
|||||
| Not related to DAVF 7.3% |
Probably related to DAVF 1.8% |
Definitely related to DAVF 9.1% |
|||||
| Treatment of adverse events | Medical 9.1% |
Surgical 1.8% |
Endovascular 3.6% |
None 3.6% |
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| Outcome of adverse events | Recovered w/o sequelae 12.7% |
Recovered w/ sequelae 1.8% |
Not yet recovered 1.8% |
Death 1.8% |
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| Degree of DAVF occlusion¶ | ||||
| Overall immediate occlusion rate | Complete occlusion 94.3% |
Near-complete occlusion>90% 3.8% |
Partial occlusion 50–90% 1.9% |
Partial occlusion <50% 0% |
| Immediate occlusion rate using Squid only | Complete occlusion 92.5% |
Near-complete occlusion>90% 3.8% |
Partial occlusion 50–90% 1.9% |
Partial occlusion <50% 1.9% |
| Final occlusion rate at 90 to 180 days** | Complete occlusion 93.2% |
Near-complete occlusion>90% 2.3% |
Partial occlusion 50–90% 2.3% |
Partial occlusion <50% 2.3% |
*Protection of a healthy brain-supplying artery to avoid inadvertent embolization.
†Transvenous coiling of the draining vein (n=2) or pressure-cooker technique (n=1).
‡Relative frequencies indicated related to the number of treatments (n=55).
§Clinical follow-up was available for 43 patients.
¶Occlusion rates indicated related to the number of DAVFs (n=53).
**Imaging follow-up was available for 44 patients.
a, artery; DAVF, dural arteriovenous fistula; mRS, modified Rankin Scale.