Role of follow-up imaging after resection of brain arteriovenous malformations in pediatric patients: a systematic review of the literature

Joaquin E. Jimenez, Zachary C. Gersey, Jason Wagner, Brian Snelling, Sudheer Ambekar, Eric Peterson

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

OBJECTIVE Pediatric patients are at risk for the recurrence of brain arteriovenous malformation (AVM) after resection. While there is general consensus on the importance of follow-up after surgical removal of an AVM, there is a lack of consistency in the duration of that follow-up. The object of this systematic review was to examine the role of follow-up imaging in detecting AVM recurrence early and preventing AVM rupture. METHODS This systematic review was performed using articles obtained through a search of the literature contained in the MeSH database, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS Search results revealed 1052 articles, 13 of which described 31 cases of AVM recurrence meeting the criteria for inclusion in this study. Detection of AVM occurred significantly earlier (mean ± SD, 3.56 ± 3.67 years) in patients with follow-up imaging than in those without (mean 8.86 ± 5.61 years; p = 0.0169). While 13.34% of patients who underwent follow-up imaging presented with rupture of a recurrent AVM, 57.14% of those without follow-up imaging presented with a ruptured recurrence (p = 0.0377). CONCLUSIONS Follow-up imaging has an integral role after AVM resection and is sometimes not performed for a sufficient period, leading to delayed detection of recurrence and an increased likelihood of a ruptured recurrent AVM.

Original languageEnglish (US)
Pages (from-to)149-156
Number of pages8
JournalJournal of neurosurgery. Pediatrics
Volume19
Issue number2
DOIs
StatePublished - Feb 1 2017

Fingerprint

Arteriovenous Malformations
Pediatrics
Brain
Recurrence
Rupture
Meta-Analysis
Databases
Guidelines

Keywords

  • arteriovenous malformation
  • AVM = arteriovenous malformation
  • DSA = digital subtraction angiography
  • follow-up imaging
  • pediatrics
  • recurrence
  • SM = Spetzler-Martin
  • vascular disorders

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Role of follow-up imaging after resection of brain arteriovenous malformations in pediatric patients : a systematic review of the literature. / Jimenez, Joaquin E.; Gersey, Zachary C.; Wagner, Jason; Snelling, Brian; Ambekar, Sudheer; Peterson, Eric.

In: Journal of neurosurgery. Pediatrics, Vol. 19, No. 2, 01.02.2017, p. 149-156.

Research output: Contribution to journalReview article

Jimenez, Joaquin E. ; Gersey, Zachary C. ; Wagner, Jason ; Snelling, Brian ; Ambekar, Sudheer ; Peterson, Eric. / Role of follow-up imaging after resection of brain arteriovenous malformations in pediatric patients : a systematic review of the literature. In: Journal of neurosurgery. Pediatrics. 2017 ; Vol. 19, No. 2. pp. 149-156.
@article{a3639e979d8d48679b7ad39cf10330fc,
title = "Role of follow-up imaging after resection of brain arteriovenous malformations in pediatric patients: a systematic review of the literature",
abstract = "OBJECTIVE Pediatric patients are at risk for the recurrence of brain arteriovenous malformation (AVM) after resection. While there is general consensus on the importance of follow-up after surgical removal of an AVM, there is a lack of consistency in the duration of that follow-up. The object of this systematic review was to examine the role of follow-up imaging in detecting AVM recurrence early and preventing AVM rupture. METHODS This systematic review was performed using articles obtained through a search of the literature contained in the MeSH database, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS Search results revealed 1052 articles, 13 of which described 31 cases of AVM recurrence meeting the criteria for inclusion in this study. Detection of AVM occurred significantly earlier (mean ± SD, 3.56 ± 3.67 years) in patients with follow-up imaging than in those without (mean 8.86 ± 5.61 years; p = 0.0169). While 13.34{\%} of patients who underwent follow-up imaging presented with rupture of a recurrent AVM, 57.14{\%} of those without follow-up imaging presented with a ruptured recurrence (p = 0.0377). CONCLUSIONS Follow-up imaging has an integral role after AVM resection and is sometimes not performed for a sufficient period, leading to delayed detection of recurrence and an increased likelihood of a ruptured recurrent AVM.",
keywords = "arteriovenous malformation, AVM = arteriovenous malformation, DSA = digital subtraction angiography, follow-up imaging, pediatrics, recurrence, SM = Spetzler-Martin, vascular disorders",
author = "Jimenez, {Joaquin E.} and Gersey, {Zachary C.} and Jason Wagner and Brian Snelling and Sudheer Ambekar and Eric Peterson",
year = "2017",
month = "2",
day = "1",
doi = "10.3171/2016.9.PEDS16235",
language = "English (US)",
volume = "19",
pages = "149--156",
journal = "Journal of Neurosurgery: Pediatrics",
issn = "1933-0707",
publisher = "American Association of Neurological Surgeons",
number = "2",

}

TY - JOUR

T1 - Role of follow-up imaging after resection of brain arteriovenous malformations in pediatric patients

T2 - a systematic review of the literature

AU - Jimenez, Joaquin E.

AU - Gersey, Zachary C.

AU - Wagner, Jason

AU - Snelling, Brian

AU - Ambekar, Sudheer

AU - Peterson, Eric

PY - 2017/2/1

Y1 - 2017/2/1

N2 - OBJECTIVE Pediatric patients are at risk for the recurrence of brain arteriovenous malformation (AVM) after resection. While there is general consensus on the importance of follow-up after surgical removal of an AVM, there is a lack of consistency in the duration of that follow-up. The object of this systematic review was to examine the role of follow-up imaging in detecting AVM recurrence early and preventing AVM rupture. METHODS This systematic review was performed using articles obtained through a search of the literature contained in the MeSH database, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS Search results revealed 1052 articles, 13 of which described 31 cases of AVM recurrence meeting the criteria for inclusion in this study. Detection of AVM occurred significantly earlier (mean ± SD, 3.56 ± 3.67 years) in patients with follow-up imaging than in those without (mean 8.86 ± 5.61 years; p = 0.0169). While 13.34% of patients who underwent follow-up imaging presented with rupture of a recurrent AVM, 57.14% of those without follow-up imaging presented with a ruptured recurrence (p = 0.0377). CONCLUSIONS Follow-up imaging has an integral role after AVM resection and is sometimes not performed for a sufficient period, leading to delayed detection of recurrence and an increased likelihood of a ruptured recurrent AVM.

AB - OBJECTIVE Pediatric patients are at risk for the recurrence of brain arteriovenous malformation (AVM) after resection. While there is general consensus on the importance of follow-up after surgical removal of an AVM, there is a lack of consistency in the duration of that follow-up. The object of this systematic review was to examine the role of follow-up imaging in detecting AVM recurrence early and preventing AVM rupture. METHODS This systematic review was performed using articles obtained through a search of the literature contained in the MeSH database, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS Search results revealed 1052 articles, 13 of which described 31 cases of AVM recurrence meeting the criteria for inclusion in this study. Detection of AVM occurred significantly earlier (mean ± SD, 3.56 ± 3.67 years) in patients with follow-up imaging than in those without (mean 8.86 ± 5.61 years; p = 0.0169). While 13.34% of patients who underwent follow-up imaging presented with rupture of a recurrent AVM, 57.14% of those without follow-up imaging presented with a ruptured recurrence (p = 0.0377). CONCLUSIONS Follow-up imaging has an integral role after AVM resection and is sometimes not performed for a sufficient period, leading to delayed detection of recurrence and an increased likelihood of a ruptured recurrent AVM.

KW - arteriovenous malformation

KW - AVM = arteriovenous malformation

KW - DSA = digital subtraction angiography

KW - follow-up imaging

KW - pediatrics

KW - recurrence

KW - SM = Spetzler-Martin

KW - vascular disorders

UR - http://www.scopus.com/inward/record.url?scp=85013073102&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85013073102&partnerID=8YFLogxK

U2 - 10.3171/2016.9.PEDS16235

DO - 10.3171/2016.9.PEDS16235

M3 - Review article

C2 - 27911246

AN - SCOPUS:85013073102

VL - 19

SP - 149

EP - 156

JO - Journal of Neurosurgery: Pediatrics

JF - Journal of Neurosurgery: Pediatrics

SN - 1933-0707

IS - 2

ER -