Clinical Characteristics and Management Considerations of Craniocervical Junction Arteriovenous Fistulas With Subarachnoid Hemorrhage: A Multicenter Study

CCJ AVF-related SAH is often mild, as evidenced by a high proportion of patients with low-grade World Federation of Neurosurgical Societies scores and a low rate of rebleeding/vasospasm. In contrast to intracranial aneurysmal SAH, our results do not support acute surgical intervention as the preferred management for patients with CCJ AVF-related SAH. Through delayed surgery, clinicians can avoid ischemic complications and improve patient outcomes.

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Publication Details

Journal
Neurosurgery
Published
2025-04-14
DOI
https://doi.org/10.1227/neu.0000000000003444
Primary Topic
Intracranial Aneurysms: Treatment and Complications
Type
article
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article

Clinical Characteristics and Management Considerations of Craniocervical Junction Arteriovenous Fistulas With Subarachnoid Hemorrhage: A Multicenter Study

Tomoo Inoue, Toshiki Endo, Keisuke Takai, Toshitaka Seki
Neurosurgery
Intracranial Aneurysms: Treatment and Complications
article

Clinical Characteristics and Management Considerations of Craniocervical Junction Arteriovenous Fistulas With Subarachnoid Hemorrhage: A Multicenter Study

Tomoo Inoue, Toshiki Endo, Keisuke Takai, Toshitaka Seki
article en

Abstract

CCJ AVF-related SAH is often mild, as evidenced by a high proportion of patients with low-grade World Federation of Neurosurgical Societies scores and a low rate of rebleeding/vasospasm. In contrast to intracranial aneurysmal SAH, our results do not support acute surgical intervention as the preferred management for patients with CCJ AVF-related SAH. Through delayed surgery, clinicians can avoid ischemic complications and improve patient outcomes.

NeurosurgeryVol. 97(3)
Hokkaido University (JP), Tokyo Metropolitan Neurological Hospital (JP), Saitama Red Cross Hospital (JP), Tohoku Medical and Pharmaceutical University (JP)
Good health and well-being
Openalex Percentile: Top 87%
Intracranial Aneurysms: Treatment and Complications
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