Table 1.
Interventional therapy (N=114) | Medical management (N=109) | |
---|---|---|
Age (years) | 45 (12) | 44 (12) |
| ||
Women | 48 (42%) | 44 (40%) |
| ||
White | 98 (86%) | 87 (80%) |
| ||
Right-handed | 109 (96%) | 100 (92%) |
| ||
Clinical presentation | ||
Seizure | 50 (44%) | 45 (41%) |
Headaches | 56 (49%) | 59 (54%) |
Focal deficit | 21 (18%) | 10 (9%)x |
Other | 3 (3%) | 8 (7%) |
Asymptomatic | 44 (39%) | 49 (45%) |
| ||
Modified Rankin score | ||
0 | 55 (48%) | 51 (47%) |
1 | 59 (52%) | 58 (53%) |
| ||
Spetzler-Martin grading score* | ||
I | 32 (29%) | 33 (30%) |
II | 44 (39%) | 27 (25%) |
III | 28 (25%) | 34 (31%) |
IV | 8 (7%) | 15 (14%) |
| ||
AVM morphology | ||
Maximum AVM size (mm) | 25 (12) | 28 (11) |
AVM size <3 cm | 78 (68%) | 60 (55%) |
AVM side, left | 48 (42%) | 50 (46%) |
Lobar AVM location | 104 (91%) | 99 (91%) |
Infratentorial AVM location | 7 (6%) | 5 (5%) |
Eloquent AVM location† | 54 (47%) | 51 (47%) |
| ||
Concurrent arterial aneurysms | ||
Associated aneurysm‡ | 15 (13%) | 21 (19%) |
Unrelated aneurysm | 4 (4%) | 7 (6%) |
| ||
Venous drainage pattern* | ||
Superficial only | 78 (70%) | 69 (63%) |
Any deep | 34 (30%) | 40 (37%) |
Data are mean (SD) or number (%). AVM=arteriovenous malformation.
Unavailable for two patients in the interventional therapy group who were enrolled without angiography.
Eloquent is any AVM location involving the sensorimotor, language, or visual cortex; the hypothalamus and thalamus; the internal capsule; the brainstem; the cerebellar peduncles; or the deep cerebellar nuclei.15
Associated arterial aneurysms are flow-related aneurysms located on a feeding artery or within the AVM nidus (so-called intranidal aneurysms).12