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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Complications caused by cerebral arteriovenous malformation embolization
1Department of Neurosurgery, Lianyungang Hospital of Xuzhou Medical College; Jiang Su, China - lygsuny@163.com.
The Neuroradiology Journal
|September 14, 2013
Summary
Endovascular embolization for cerebral arteriovenous malformations (AVMs) shows a 5.1% complication rate. Most patients (82.9%) achieved good outcomes, demonstrating the procedure
Area of Science:
- Neurology
- Neurosurgery
- Interventional Radiology
Background:
- Cerebral arteriovenous malformations (AVMs) pose significant risks.
- Endovascular embolization is a key treatment modality for AVMs.
- Understanding complication rates and outcomes is crucial for patient management.
Purpose of the Study:
- To evaluate the complications associated with endovascular embolization for cerebral AVMs.
- To assess patient outcomes following embolization treatment.
- To determine the safety and efficacy of this interventional procedure.
Main Methods:
- Retrospective review of 164 consecutive patients treated between 1998 and 2003.
- Analysis of 292 embolization procedures, used as primary, adjuvant to surgery, or adjuvant to radiosurgery.
- Assessment of complication rates (per patient and per procedure) and neurological outcomes using the Glasgow Outcome Scale.
Main Results:
- A total of 15 complications occurred (9.1% per patient, 5.1% per procedure).
- 14 complications were clinically significant (8.5% of patients, 4.8% per procedure).
- 82.9% of patients achieved excellent or good outcomes (Glasgow Outcome Scale ≥ 4) at discharge, with 7.3% experiencing neurological deficits.
Conclusions:
- Endovascular embolization for cerebral AVMs is associated with a manageable complication rate.
- The majority of patients treated with embolization achieve favorable neurological outcomes.
- This study supports the role of endovascular embolization in the multidisciplinary management of AVMs.
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