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Embolization of Cerebral Arteriovenous Malformations

  • Bruno C. Flores
  • Alfred P. See
  • Andrew F. Ducruet
  • Felipe C. Albuquerque
Chapter

Abstract

Effective treatment of cerebral arteriovenous malformations (AVMs) requires a multidisciplinary approach that appropriately applies the complementary modalities of microsurgical resection, endovascular embolization, and radiosurgery. Embolization is most commonly used as an adjunct to reduce the arterial supply to the AVM before surgery or radiosurgery. Additional indications for embolization include an attempt to achieve complete AVM obliteration, targeted treatment to eliminate high-risk features, and subtotal occlusion to palliate symptoms caused by an otherwise incurable AVM. In all cases, the risks and benefits of treatment must be weighed carefully when formulating a treatment strategy. For optimal management of cerebral AVMs, patients should have access to physicians experienced in open cerebrovascular surgery, endovascular embolization, and radiosurgery.

Notes

Acknowledgments

The authors would like to thank the Neuroscience Publications staff of Barrow Neurological Institute for their invaluable assistance in the preparation of this chapter.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Bruno C. Flores
    • 1
  • Alfred P. See
    • 1
  • Andrew F. Ducruet
    • 1
  • Felipe C. Albuquerque
    • 1
    • 2
  1. 1.Department of NeurosurgeryBarrow Neurological Institute, St. Joseph’s Hospital and Medical CenterPhoenixUSA
  2. 2.c/o Neuroscience Publications; Barrow Neurological Institute, St. Joseph’s Hospital and Medical CenterPhoenixUSA

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