Affiliation:
1. Department of Neurosurgery, Stanford University School of Medicine, Stanford, California
2. Department of Neurological Surgery, University of California, San Francisco, San Francisco, California
Abstract
Abstract
A compartmental conceptualization of intracranial arteriovenous malformations (AVMs) allows recognition of feeding arteries, an intervening plexiform nidus, and draining veins. AVM therapy involves eliminating the nidus, which is the source of hemorrhage, without compromising normal arterial and venous drainage of the brain. Traditional methods of AVM therapy through microsurgery and endovascular embolization involve arterial devascularization, with preservation of AVM venous drainage, until the nidus is excluded. The transvenous approach in treating vascular malformations was popularized by successful treatment models for dural arteriovenous fistulas. More recently, high-flow intracranial AVMs are being managed with transvenous endovascular approaches, although this novel technique has its challenges and perils. We review the current literature on transvenous AVM therapy and highlight its role for AVM therapy in the present day.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Clinical Neurology,Surgery
Reference64 articles.
1. The nidus concept of spinal cord arteriovenous malformations;Doppman;A surgical recommendation based upon angiographic observations. Br J Radiol,1971
2. A proposed angiographic classification of intracranial arteriovenous fistulae and malformations;Houdart;Neuroradiology,1993
3. Angiographic architecture of intracranial vascular malformations and fistulas—pretherapeutic aspects;Lasjaunias;Neurosurg Rev,1986
4. Evidence of endothelial progenitor cells in the human brain and spinal cord arteriovenous malformations;Gao;Neurosurgery,2010
5. Vascular smooth muscle cell differentiation in human cerebral vascular malformations;Uranishi;Neurosurgery,2001
Cited by
39 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献