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Updated: May 4, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Endovascular advances for brain arteriovenous malformations
R Webster Crowley1, Andrew F Ducruet, Cameron G McDougall
1Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
Neurosurgery
|January 10, 2014
Summary
Endovascular techniques, including new liquid embolics and catheters, have significantly advanced brain arteriovenous malformation (AVM) treatment. These innovations offer versatile options, alone or combined with surgery and radiosurgery.
Area of Science:
- Neurosurgery
- Interventional Radiology
- Vascular Neurology
Background:
- Brain arteriovenous malformations (AVMs) present complex treatment challenges.
- Historically, surgical resection was the primary treatment for brain AVMs.
- Recent advancements have expanded therapeutic options.
Purpose of the Study:
- To review significant advancements in the endovascular treatment of brain AVMs.
- To discuss the expanding indications for endovascular therapy in managing cerebral AVMs.
Main Methods:
- Review of recent literature on endovascular techniques for brain AVMs.
- Focus on innovations in liquid embolics (e.g., Onyx) and delivery catheters.
- Analysis of treatment outcomes and evolving clinical applications.
Main Results:
- Liquid embolics like Onyx have revolutionized AVM embolization.
- Innovations in catheter technology (e.g., flow-directed, balloon-tipped) enhance precision.
- Endovascular embolization is now a viable standalone or adjunctive therapy.
Conclusions:
- Endovascular approaches have transformed brain AVM management.
- Continued innovation in materials and devices promises further improvements.
- Expanding indications highlight the growing role of endovascular treatment for cerebral AVMs.
