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Arteriovenous Malformations: Diagnosis and Endovascular Treatment

  • Laecio Batista
  • Augustin Ozanne
  • Marcos Barbosa
  • Hortensia Alvarez
  • Pierre Lasjaunias

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.

Keywords

Endovascular Treatment Arteriovenous Malformation Hereditary Hemorrhagic Telangiectasia Computerize Tomogra Dural Sinus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2005

Authors and Affiliations

  • Laecio Batista
    • 1
  • Augustin Ozanne
    • 1
  • Marcos Barbosa
    • 1
  • Hortensia Alvarez
    • 1
  • Pierre Lasjaunias
    • 1
  1. 1.Diagnostic and Therapeutic Vascular Neuroradiology UnitBicêtre HospitalLe Kremlin-BicêtreFrance

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