The approach of treatment of cerebral arteriovenous malformation with endovascular embolization.
Xin Li
Abstract
Xin Li
Abstract
Objective To verify the effectiveness and safety of the endovascular embolization in the treatment cerebral arte-riovenous malformation. Methods 87 patients underwent embolization with the microcatheter technique under digital subtraction angiography(DSA) monitoring. Results 87 patients underwent 105 times of embolization therapy, and single case underwent 1 -7 times, averagely, 1.2 times. Complete obliteration of the nidus was achieved in 19 patients, 90% in 19, 80% in 10, 70% in 12, 60% in 10 and below 60% in 17 reskectively. 42 patients received surgery after the embolization. 15 patients received γ-knife treatment. Among the 87 patients, 82 patients fully recovered, while 5 patients suffered from moderate persistent neurologic deficits. Conclusions Endovascular embolization of the cerebral arteriovenous malformations is effective and relatively safe.
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Objective To verify the effectiveness and safety of the endovascular embolization in the treatment cerebral arte-riovenous malformation. Methods 87 patients underwent embolization with the microcatheter technique under digital subtraction angiography(DSA) monitoring. Results 87 patients underwent 105 times of embolization therapy, and single case underwent 1 -7 times, averagely, 1.2 times. Complete obliteration of the nidus was achieved in 19 patients, 90% in 19, 80% in 10, 70% in 12, 60% in 10 and below 60% in 17 reskectively. 42 patients received surgery after the embolization. 15 patients received γ-knife treatment. Among the 87 patients, 82 patients fully recovered, while 5 patients suffered from moderate persistent neurologic deficits. Conclusions Endovascular embolization of the cerebral arteriovenous malformations is effective and relatively safe.
Key concepts: Medicine, Embolization, Digital subtraction angiography, Arteriovenous malformation, Radiology, Endovascular treatment, Surgery, Angiography