Endovascular and microsurgical treatment of cerebral arteriovenous malformations: Current recommendations

Andrew Conger, Charles Kulwin, Michael T. Lawton, Aaron A. Cohen-Gadol

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Background: Cerebral arteriovenous malformations (AVMs) can be a heterogeneous pathological entity whose management requires a complex decision-making process due to the risks associated with their treatment and natural history. Despite the recently published conclusions of the aborted Randomized Trial of Brain Unruptured AVMs (ARUBA) trial, the authors of this article believe multimodality intervention in general and microsurgical resection in particular continue to play a major role in the management of carefully selected ruptured or unruptured AVMs. Methods: The authors provide an overview of their methodology for endovascular intervention and microsurgical resection and share their technical nuances for successful embolization and microsurgical resection of AVMs with special emphasis on complication avoidance. Results: The authors have achieved successful outcomes in embolization and resection of cerebral AVMs when using their methodology. Conclusions: These lesions are among the most technically difficult pathological entities handled by the cerebrovascular specialist, and an overview of technical concepts to help systematize this challenging and variable endeavor can improve the safety of their treatment.

Original languageEnglish (US)
Article number39
JournalSurgical Neurology International
Volume6
Issue number1
DOIs
StatePublished - Jan 1 2015

    Fingerprint

Keywords

  • Complications
  • intracranial arteriovenous malformation
  • microsurgical resection
  • technique

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this