Most Promising Approaches to Improve Brain AVM Management: ARISE I Consensus Recommendations-Reference-Cited by-同舟云学术

Most Promising Approaches to Improve Brain AVM Management: ARISE I Consensus Recommendations

Published:2024-05 Issue:5 Volume:55 Page:1449-1463
ISSN:0039-2499
Container-title:Stroke
language:en
Short-container-title:Stroke

Author:

Samaniego Edgar A.¹^ORCID,Dabus Guilherme²^ORCID,Meyers Philip M.³^ORCID,Kan Peter T.⁴^ORCID,Frösen Juhana⁵^ORCID,Lanzino Giuseppe⁶^ORCID,Welch Babu G.⁷^ORCID,Volovici Victor⁸^ORCID,Gonzalez Fernando⁹^ORCID,Fifi Johana¹⁰^ORCID,Charbel Fady T.¹¹,Hoh Brian L.¹²^ORCID,Khalessi Alexander¹³,Marks Michael P.¹⁴,Berenstein Alejandro¹⁰^ORCID,Pereira Victor M.¹⁵,Bain Mark¹⁶,Colby Geoffrey P.¹⁷^ORCID,Narayanan Sandra¹⁸^ORCID,Tateshima Satoshi¹⁹^ORCID,Siddiqui Adnan H.²⁰^ORCID,Wakhloo Ajay K.²¹^ORCID,Arthur Adam S.²²^ORCID,Lawton Michael T.²³^ORCID,

Affiliation:

1. Department of Neurology, Neurosurgery and Radiology, University of Iowa (E.A.S.).

2. Department of Neurosurgery, Baptist Health, Miami, FL (G.D.).

3. Department of Radiology and Neurological Surgery, Columbia University, New York (P.M.M.).

4. Department of Neurological Surgery, University of Texas Medical Branch Galveston (P.T.K.).

5. Department of Rehabilitation, Tampere University Hospital, Finland (J.F.).

6. Department of Neurosurgery, Mayo Clinic, Rochester, MN (G.L.).

7. Departments of Neurological Surgery and Radiology; The University of Texas Southwestern, Dallas (B.G.W.).

8. Department of Neurosurgery, Erasmus MC University Medical Centre, Rotterdam, the Netherlands (V.V.).

9. Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD (F.G.).

10. Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York (J.F., A.B.).

11. Department of Neurosurgery, University of Illinois at Chicago (F.T.C.).

12. Department of Neurosurgery, College of Medicine, University of Florida, Gainesville (B.L.H.).

13. Department of Neurosciences, University of California, San Diego (A.K.).

14. Interventional Neuroradiology Division, Stanford University Medical Center, Palo Alto, CA (M.P.M.).

15. Department of Neurosurgery, St. Michael’s Hospital, Toronto, Canada (V.M.P.).

16. Department of Neurological Surgery, Cleveland Clinic, OH (M.B.).

17. Department of Neurosurgery, University of California Los Angeles (G.P.C.).

18. Neurointerventional Program and Comprehensive Stroke Program, Pacific Neuroscience Institute, Santa Monica, CA (S.N.).

19. Division of Interventional Neuroradiology, Ronald Reagan UCLA Medical Center, Los Angeles (S.T.).

20. Department of Neurosurgery, Gates Vascular Institute, Buffalo, New York (A.H.S.).

21. Department of Radiology, Tufts University School of Medicine, Boston, MA (A.K.W.).

22. Department of Neurosurgery, Semmes-Murphey Clinic, University of Tennessee Health Science Center, Memphis (A.S.A.).

23. Neurosurgery, Barrow Neurological Institute, Phoenix, AZ (M.T.L.).

Abstract

Brain arteriovenous malformations (bAVMs) are complex, and rare arteriovenous shunts that present with a wide range of signs and symptoms, with intracerebral hemorrhage being the most severe. Despite prior societal position statements, there is no consensus on the management of these lesions. ARISE (Aneurysm/bAVM/cSDH Roundtable Discussion With Industry and Stroke Experts) was convened to discuss evidence-based approaches and enhance our understanding of these complex lesions. ARISE identified the need to develop scales to predict the risk of rupture of bAVMs, and the use of common data elements to perform prospective registries and clinical studies. Additionally, the group underscored the need for comprehensive patient management with specialized centers with expertise in cranial and spinal microsurgery, neurological endovascular surgery, and stereotactic radiosurgery. The collection of prospective multicenter data and gross specimens was deemed essential for improving bAVM characterization, genetic evaluation, and phenotyping. Finally, bAVMs should be managed within a multidisciplinary framework, with clinical studies and research conducted collaboratively across multiple centers, harnessing the collective expertise and centralization of resources.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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