open access

Vol 51, No 6 (2017)
Original research articles
Submitted: 2016-04-26
Get Citation

The ‘radical combined approach’ in cerebral arteriovenous malformation treatment: Technical note

Umit Kocaman, Tayfun Dalbasti, Utku Mahir Yildirim, Hakan Yilmaz
DOI: 10.1016/j.pjnns.2017.08.001
·
Neurol Neurochir Pol 2017;51(6):465-470.

open access

Vol 51, No 6 (2017)
Original research articles
Submitted: 2016-04-26

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.

Get Citation

Keywords

Arteriovenous malformation, Interventional treatment, Radical combined approach

About this article
Title

The ‘radical combined approach’ in cerebral arteriovenous malformation treatment: Technical note

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 51, No 6 (2017)

Pages

465-470

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

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