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Related Experiment Video

Updated: Apr 25, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Curing arteriovenous malformations using embolization.

Matthew B Potts1, Daniel W Zumofen, Eytan Raz

  • 1Departments of Neurological Surgery, New York University School of Medicine, and Bernard and Irene Schwartz Neurointerventional Radiology Section, NYU Langone Medical Center, New York, New York.

Neurosurgical Focus
|September 2, 2014
PubMed
Summary
This summary is machine-generated.

Curative endovascular embolization for cerebral arteriovenous malformations (AVMs) is a potential treatment option for select patients. Advances in technology show promise for safe, effective, and durable AVM occlusion.

Keywords:
AVM = arteriovenous malformationAVM cureEVOH = ethylene vinyl alcoholIBCA = isobutyl-2-cyano-acrylateNBCA = N-butyl cyanoacrylatearteriovenous malformationembolizationendovascular

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Area of Science:

  • Neurology
  • Interventional Neuroradiology
  • Vascular Surgery

Background:

  • Endovascular embolization is traditionally an adjuvant therapy for cerebral arteriovenous malformations (AVMs).
  • Curative embolization for AVMs has a limited role but is increasingly feasible with advanced embolic agents.
  • Defining treatment indications is crucial amid AVM management controversies.

Purpose of the Study:

  • To evaluate the role and feasibility of curative endovascular embolization for cerebral AVMs.
  • To analyze anatomical factors, safety, efficacy, and durability of curative embolization.
  • To discuss technological advancements and the importance of superselective angiography.

Main Methods:

  • Review of studies over the past 20 years on curative AVM embolization.
  • Analysis of anatomical factors influencing complete endovascular occlusion (size, feeding artery, morphology, accessibility).
  • Discussion of advances in endovascular technology, techniques, and superselective angiography.

Main Results:

  • Highly selected AVM patients can be treated with curative intent.
  • Occlusion rates up to 100% achieved in prospectively identified lesions with minimal morbidity.
  • Endovascular embolization shows potential for safe, effective, and durable cure in select AVMs.

Conclusions:

  • Endovascular embolization has the potential to be a safe, effective, and durable curative treatment for select cerebral AVMs.
  • Technological advancements support the efficacy and safety of curative embolization.
  • Curative embolization broadens treatment options for AVM management.