Abstract
The management of arteriovenous malformations (AVMs) in the basal ganglia, insula, and thalamus is demanding for all treatment modalities. To define safety and outcomes of embolization used as a stand-alone therapy for deep-seated AVMs. A cohort of 22 patients with AVMs located in the basal ganglia, thalamus, and insula who underwent embolization between January 2008 and December 2013. Eighteen of 22 (82%) patients had anatomic exclusion. The mean size was 2.98 ± 1.28 cm, and the mean number of sessions was 2.1 per patient. Most patients presented with hemorrhage (82%, n = 18), and 3 (14%) patients were in a deteriorated neurological status (modified Rankin Scale >2) at presentation. Sixty-eight percent of ruptured AVMs had size ≤3 cm. A single transarterial approach was performed in 9 (41%) cases, double catheterization was used in 4 (18%), and the transvenous approach was required in 8 (36%) cases. Procedure-related complications were registered in 3 (14%) cases. One death was associated with treatment, and complementary radiosurgery was required in 2 (9%) patients. Embolization therapy appears to be safe and potentially curative for certain deep AVMs. Our results demonstrate a high percentage of anatomic obliteration with ra...Continue Reading
References
Feb 6, 1998·Journal of Neurosurgery·T SasakiK Takakura
Apr 15, 2003·Journal of Neurosurgery·Ian G FleetwoodGary K Steinberg
May 22, 2003·European Journal of Radiology·Michael SödermanGöran Edner
Apr 17, 2004·Journal of Neurosurgery·Bruce E PollockPaul D Brown
Dec 25, 2004·Neurosurgery·Yuri M Andrade-SouzaMichael L Schwartz
May 10, 2006·Neurology·C StapfJ P Mohr
Sep 1, 2007·Neurosurgery·Werner WeberDietmar Kühne
Nov 6, 2007·Journal of Neurosurgery. Spine·Rufus A CorkillAndrew J Molyneux
Apr 15, 2008·Neuroradiology·Vasilios KatsaridisEnrico Aimar
Sep 25, 2008·Neurosurgery·Bradley A GrossH Hunt Batjer
Oct 23, 2010·AJNR. American Journal of Neuroradiology·D G AbudC Mounayer
Feb 25, 2011·Neurosurgery·Iruena KesslerCharbel Mounayer
Apr 12, 2011·Journal of Neurosurgery·Isil SaatciH Saruhan Cekirge
Nov 15, 2011·Journal of Neurosurgery·Hideyuki KanoL Dade Lunsford
Jan 24, 2012·Journal of Neurosurgery·Ching-Hsiao ChengJason P Sheehan
Oct 26, 2012·Neurosurgery·Leonardo RenieriSalvatore Mangiafico
Mar 12, 2013·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·V M PereiraK O Lovblad
Apr 6, 2013·AJNR. American Journal of Neuroradiology·A ConsoliS Mangiafico
Jun 4, 2013·Neurosurgery·Matthew B PottsUNKNOWN UCSF Brain AVM Study Project
Jan 10, 2014·Neurosurgery·R Webster CrowleyFelipe C Albuquerque
Mar 13, 2014·Journal of Neurointerventional Surgery·Mario Martínez-GaldámezAntonio Pérez-Higueras
Mar 25, 2014·World Neurosurgery·Matthew B PottsUNKNOWN UCSF Brain AVM Study Project
Mar 29, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·David AltschulAlejandro Berenstein
Citations
Jul 5, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Xianli LvYouxiang Li
Dec 28, 2017·Neurosurgery·George A C MendesCharbel Mounayer
Jun 11, 2017·Journal of Neurointerventional Surgery·Dinark Conceição VianaDaniel Giansante Abud
Feb 15, 2018·Stroke; a Journal of Cerebral Circulation·Fujun Liu, Jing Chen
Feb 16, 2018·Journal of Neurosurgical Sciences·Yi-Bin FangWaleed Brinjikji
Sep 14, 2019·Journal of Neurosurgery·Yosuf W SubatM Ali Aziz-Sultan
May 13, 2018·World Neurosurgery·Yingkun HeBin Xu