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Arteriovenous Malformations: Diagnosis and Endovascular Treatment

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Pediatric Neuroradiology

Abstract

Cerebral arteriovenous malformations (CAVMs) or shunts have different characteristics in children when compared with adults with respect to multifocal lesions, induced remote arteriovenous shunts [1, 2], venous thrombosis, systemic manifestations, large venous ectasias, high flow lesions, and rapid cerebral atrophy [3]–[5]. Conversely, high-flow angiopathic changes are seldom seen with the same frequency as in adults; flow-related arterial aneurysms are absent [6], whereas proximal occlusive arteriopathic changes are more frequent. For this reason, management protocols derived from experience in adults cannot be applied to the pediatric population. In particular, adult-based AVM grading is especially inappropriate for children, because (1) cerebral eloquence is difficult to assess, particularly in the first years of life; (2) most lesions are fistulas or multifocal; (3) their drainage usually involves the entire venous system; and (4) the possibility for recovery in children is different from adults.

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Authors and Affiliations

  1. Diagnostic and Therapeutic Vascular Neuroradiology Unit, Bicêtre Hospital, Le Kremlin-Bicêtre, France

    Laecio Batista MD, Augustin Ozanne MD, Marcos Barbosa MD, Hortensia Alvarez MD & Pierre Lasjaunias MD, PhD (Head)

Authors
  1. Laecio Batista MD
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  2. Augustin Ozanne MD
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  3. Marcos Barbosa MD
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  4. Hortensia Alvarez MD
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  5. Pierre Lasjaunias MD, PhD
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© 2005 Springer-Verlag Berlin Heidelberg

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Batista, L., Ozanne, A., Barbosa, M., Alvarez, H., Lasjaunias, P. (2005). Arteriovenous Malformations: Diagnosis and Endovascular Treatment. In: Pediatric Neuroradiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-26398-5_8

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  • DOI: https://doi.org/10.1007/3-540-26398-5_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-41077-5

  • Online ISBN: 978-3-540-26398-2

  • eBook Packages: MedicineMedicine (R0)

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