Endovascular Treatment of Intracranial Arteriovenous Malformation

被引:24
作者
Strozyk, Dorothea [2 ]
Nogueira, Raul G. [3 ]
Lavine, Sean D. [1 ,2 ]
机构
[1] Columbia Univ, Med Ctr, Neurol Inst,Dept Neurosurg, Coll Phys & Surg, New York, NY 10032 USA
[2] Columbia Univ, Coll Phys & Surg, Dept Radiol, New York, NY USA
[3] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Dept Neurol, Boston, MA 02114 USA
关键词
Arteriovenous malformation; Endovascular treatment; Intracranial hemorrhage; Embolization; NBCA; Onyx; N-BUTYL CYANOACRYLATE; HEREDITARY HEMORRHAGIC TELANGIECTASIA; PREEMBOLIZATION FUNCTIONAL-EVALUATION; CEREBRAL VASCULAR MALFORMATIONS; POLYVINYL-ALCOHOL PARTICLES; CENTRAL-NERVOUS-SYSTEM; TERM-FOLLOW-UP; NATURAL-HISTORY; PREOPERATIVE EMBOLIZATION; STEREOTACTIC RADIOSURGERY;
D O I
10.1016/j.nec.2009.07.004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Arteriovenous malformations (AVMs) of the brain are vascular lesions in which an abnormal tangle or nidus of vessels permits pathologic shunting of blood flow from the arterial to the venous tree without an intervening capillary bed. With brain imaging techniques, an increasing number of AVMs are detected before they hemorrhage, leading to new considerations and modifications of interdisciplinary management strategies. Treatment options include endovascular embolization, microsurgical resection, radiosurgery, medical management, or a combination of these. Neuroendovascular therapy is a critical component of this multidisciplinary and multimodal approach. The development and introduction of newer techniques and agents will continue to affect embolization treatments.
引用
收藏
页码:399 / +
页数:21
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