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Updated: Jun 29, 2025

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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Elucidating the pathogenesis behind arteriovenous malformations of the central nervous system: a bibliometric
Maria D Astudillo Potes1,2,3, Megan M J Bauman1,2, Ali Shoushtari2
1Mayo Clinic Alix School of Medicine, Rochester, Minnesota, USA.
Neurosurgical Review
|March 31, 2024
Summary
Bibliometric analysis reveals evolving research on arteriovenous malformations (AVMs) pathogenesis. Despite progress in clinical aspects, the exact genetic basis and pathophysiological mechanisms of AVMs remain unclear, necessitating further gene investigation.
Area of Science:
- Neuroscience
- Genetics
- Vascular Biology
Background:
- Arteriovenous malformations (AVMs) are complex vascular anomalies of the central nervous system (CNS).
- The precise pathophysiological mechanisms underlying AVM formation are not fully elucidated.
- Understanding AVM pathogenesis is crucial for developing effective therapeutic strategies.
Purpose of the Study:
- To conduct a bibliometric analysis of highly cited literature on AVM pathogenesis.
- To map the evolution of research trends and identify key areas of focus in AVM studies.
- To provide an overview of the historical development and current landscape of AVM research.
Main Methods:
- A comprehensive search of the Web of Science database was performed.
- The top 100 most-cited articles discussing AVM pathogenesis were selected.
- Bibliometric parameters including publication year, article type, author count, journal impact factor, and country of origin were analyzed.
Main Results:
- The analysis included 1863 articles, with the top 100 selected based on citation count.
- Research composition included 24% basic science, 46% clinical, and 30% review articles.
- The United States dominated contributions (approx. 70%), with VEGF and RAS/MAPK pathways identified as key areas of genetic investigation over time.
Conclusions:
- There is a discernible increase in research interest concerning AVM genomics and pathogenesis.
- While clinical aspects and risk factors are better understood, the fundamental genetic basis and pathophysiological mechanisms of AVMs require further exploration.
- Identifying key genes involved in AVM pathogenesis may unveil potential therapeutic targets for future interventions.
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