open access
The ‘radical combined approach’ in cerebral arteriovenous malformation treatment: Technical note
Affiliations- Izmir Cigli Education and Research Hospital, Department of Neurosurgery, Izmir, Türkiye
- Ege University Faculty of Medicine, Department of Neurosurgery, Izmir, Türkiye
- University of Izmir of Medicine, Department of Interventional Radiology, Izmir, Türkiye
- Usak State Hospital, Department of Neurosurgery, Usak, Türkiye
open access
Abstract
AVMs are vessel anomalies where a connection between arterial and venous systems is present and the capillary bed is absent between the two. AVMs tend to present with seizures, headaches, focal neurological deficits and hemorrhage. Hemorrhage is the most common form of presentation. AVM's have a 2–4% annual risk of hemorrhage. Certain studies report this rate as 1%. The greatest discussion in AVM treatment is whether to use interventional treatment or monitor with medical treatment. There are 3 modalities that can be used for interventional treatment; microsurgical resection, endovascular embolization and stereotactic radiosurgery. Combined techniques are also possible. We defined the ‘radical combined approach’ combines embolization and microsurgery. We will discuss this procedure in this article as we believe it has several advantages.
Abstract
AVMs are vessel anomalies where a connection between arterial and venous systems is present and the capillary bed is absent between the two. AVMs tend to present with seizures, headaches, focal neurological deficits and hemorrhage. Hemorrhage is the most common form of presentation. AVM's have a 2–4% annual risk of hemorrhage. Certain studies report this rate as 1%. The greatest discussion in AVM treatment is whether to use interventional treatment or monitor with medical treatment. There are 3 modalities that can be used for interventional treatment; microsurgical resection, endovascular embolization and stereotactic radiosurgery. Combined techniques are also possible. We defined the ‘radical combined approach’ combines embolization and microsurgery. We will discuss this procedure in this article as we believe it has several advantages.
Keywords
Arteriovenous malformation, Interventional treatment, Radical combined approach
About this articleTitle
The ‘radical combined approach’ in cerebral arteriovenous malformation treatment: Technical note
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
465-470
Page views
409
Article views/downloads
340
DOI
10.1016/j.pjnns.2017.08.001
Bibliographic record
Neurol Neurochir Pol 2017;51(6):465-470.
Keywords
Arteriovenous malformation
Interventional treatment
Radical combined approach
Authors
Umit Kocaman
Tayfun Dalbasti
Utku Mahir Yildirim
Hakan Yilmaz
