| Autor: |
Rennert RC; Department of Neurosurgery, University of California, San Diego; rrennert@ucsd.edu., Steinberg JA; Department of Neurosurgery, University of California, San Diego., Cheung VJ; Department of Neurosurgery, University of California, San Diego., Santiago-Dieppa DR; Department of Neurosurgery, University of California, San Diego., Pannell JS; Department of Neurosurgery, University of California, San Diego., Khalessi AA; Department of Neurosurgery, University of California, San Diego. |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of visualized experiments : JoVE [J Vis Exp] 2017 Oct 20 (128). Date of Electronic Publication: 2017 Oct 20. |
| DOI: |
10.3791/55522 |
| Abstrakt: |
Arteriovenious malformations (AVMs) are associated with significant morbidity and mortality, and have a rupture risk of ~3% per year. Treatment of AVMs must be tailored specifically to the lesion, with surgical resection being the gold standard for small, accessible lesions. Pre-operative embolization of AVMs can reduce nidal blood flow and remove high-risk AVM features such as intranidal or venous aneurysms, thereby simplifying a challenging neurosurgical procedure. Herein, we describe our approach for the staged endovascular embolization and open resection of AVMs, and highlight the advantages of having a comprehensively trained neurovascular surgeon leading a multi-disciplinary clinical team. This includes planning the craniotomy and resection to immediately follow the final embolization stage, thereby using a single session of anesthesia for aggressive embolization, and rapid resection. Finally, we provide a representative case of a 22-year-old female with an unruptured right frontal AVM diagnosed during a seizure workup, who was successfully treated via staged embolizations followed by open surgical resection. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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