Endovascular management of arteriovenous malformations

Bradley A. Gross, Karam Moon, Cameron McDougall

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Arteriovenous malformation (AVM) embolization can serve as a crucial adjunct before surgical resection, a partial approach to target high-risk features, or, rarely, as a curative approach for high-risk, surgically inaccessible lesions. Specifically, embolization is a welcome surgical adjunct to reduce the size of medium to large AVMs, to target perforator supply, and/or to target the deep portion of a nidus. In addition, a crucial role for embolization is the targeting of associated aneurysms, particularly in the setting of a ruptured lesion, regardless of the subsequent therapeutic modality. Rarely, a deep, small ruptured AVM that cannot be accessed surgically may be embolized with intent to cure. This chapter will review patient selection, technical nuances, and published results for AVM embolization. With appropriate patient selection and well-defined goals of embolization, the risk of procedural morbidity can be outweighed by its benefit.

Original languageEnglish (US)
Title of host publicationHandbook of Clinical Neurology
PublisherElsevier B.V.
Pages59-68
Number of pages10
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Publication series

NameHandbook of Clinical Neurology
Volume143
ISSN (Print)0072-9752
ISSN (Electronic)2212-4152

Keywords

  • arteriovenous malformation
  • arteriovenous malformation embolization
  • endovascular
  • N-butyl cyanoacrylate
  • Onyx

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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  • Cite this

    Gross, B. A., Moon, K., & McDougall, C. (2017). Endovascular management of arteriovenous malformations. In Handbook of Clinical Neurology (pp. 59-68). (Handbook of Clinical Neurology; Vol. 143). Elsevier B.V.. https://doi.org/10.1016/B978-0-444-63640-9.00006-0