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Updated: Jul 19, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Surgical treatment of arteriovenous malformations]
D Casanova1, J Bardot, J-M Bartoli
1Service de chirurgie plastique et réparatrice, hôpital Nord, chemin des Bourrelly, 13015 Marseille, France. dcasanova@ap-hm.fr
Abstract:
MAV surgery remains still today one of most difficult in the surgery of vascular malformations. Embolisation the most selective possible follow-up of a surgical removal carrying the totality of the nidus is the only effective treatment. Usually, MAV of small size, quiescent, should not be operated, the surgery being reserved for the evolutionary or complicated forms. This surgical procedure must allow the complete eradication of the lesion without which the cure is not possible. The incomplete removal causes repetition, sometimes aggravation with, sometimes, life threatening problems.
Insights
Surgery for arteriovenous malformations (AVM) is complex. Complete surgical removal combined with embolization is the only effective treatment for symptomatic or complicated AVMs.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Medical Malformations
Context:
- Arteriovenous malformations (AVM) surgery is a challenging procedure.
- Complete nidus eradication is crucial for successful treatment.
- Surgery is typically reserved for symptomatic, complicated, or progressive AVMs.
Purpose:
- To outline the challenges and effective treatment strategies for AVM surgery.
- To emphasize the necessity of complete lesion removal.
- To guide the decision-making process for surgical intervention in AVM cases.
Summary:
- MAV surgery is highly complex, requiring precise techniques.
- The only effective treatment involves selective embolization followed by complete surgical removal of the nidus.
- Incomplete resection leads to recurrence, potential worsening, and life-threatening complications.
Impact:
- Highlights the critical importance of complete AVM eradication for cure.
- Underscores the risks associated with incomplete surgical removal.
- Provides essential information for managing complex vascular malformations.
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