• Neurosurgery · Nov 2006

    Review

    The role of neuroendovascular therapy for the treatment of brain arteriovenous malformations.

    • David Fiorella, Felipe C Albuquerque, Henry H Woo, Cameron G McDougall, and Peter A Rasmussen.
    • Department of Neuroradiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. fioreld@ccf.org
    • Neurosurgery. 2006 Nov 1;59(5 Suppl 3):S163-77; discussion S3-13.

    AbstractNeuroendovascular embolization represents a critical component of the multidisciplinary management of cerebral arteriovenous malformations. Safe and effective embolization may be performed only in the context of a well-designed, rational treatment plan that is fundamentally based on a clear understanding of the natural history of the lesion, as well as the cumulative risks of multimodality treatment. This article outlines the role of neuroendovascular embolization in arteriovenous malformation therapy with a specific emphasis on decision making in the context of formulating a treatment plan. The authors also provide a summary of the available embolic agents and their technical application, potential intraprocedural and periprocedural complications, and postprocedural management.

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