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Updated: Mar 1, 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 management of arteriovenous malformations
Bradley A Gross1, Karam Moon1, Cameron G Mcdougall1
1Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Handbook of Clinical Neurology
|May 30, 2017
Summary
Arteriovenous malformation (AVM) embolization is a valuable adjunct for surgical resection, aiding in size reduction and targeting specific AVM features. It can also be a rare curative option for surgically inaccessible AVMs.
Area of Science:
- Interventional Radiology
- Neurosurgery
- Vascular Surgery
Background:
- Arteriovenous malformations (AVMs) are complex vascular lesions requiring tailored treatment strategies.
- Embolization is a key endovascular technique used in managing AVMs.
Purpose of the Study:
- To review the role of AVM embolization as a pre-surgical adjunct.
- To discuss embolization as a primary treatment for select AVMs.
- To highlight technical nuances and outcomes of AVM embolization.
Main Methods:
- Review of literature on AVM embolization techniques and outcomes.
- Discussion of patient selection criteria for embolization.
- Analysis of embolization's role in managing AVMs, including associated aneurysms.
Main Results:
- Embolization effectively reduces the size of medium to large AVMs.
- It is crucial for targeting perforator supply, deep nidus portions, and associated aneurysms.
- Embolization can be curative for small, deep, surgically inaccessible ruptured AVMs.
Conclusions:
- Appropriate patient selection and defined goals are critical for successful AVM embolization.
- The benefits of AVM embolization, when appropriately applied, outweigh the procedural risks.
- Embolization is an indispensable tool in the multidisciplinary management of AVMs.
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