Current treatment strategies and neurosurgical practice for cerebral AVMs

Hiroki Kurita; Yuichiro Kikkawa; Toshiki Ikeda; Ririko Takeda; Hiroyuki Nakajima; Yohei Yamaguchi

doi:10.7887/jcns.25.33

Current treatment strategies and neurosurgical practice for cerebral AVMs

Hiroki Kurita, Yuichiro Kikkawa, Toshiki Ikeda, Ririko Takeda, Hiroyuki Nakajima, Yohei Yamaguchi

Saitama Medical University

Research output: Contribution to journal › Article › peer-review

Abstract

Management strategies for cerebral arteriovenous malformations(AVM)have undergone considerable evolution with the advent of advance in surgical, endovascular, and radiosurgical technologies. However, controversy still remains regarding the indications for invasive treatment, especially for unruptured lesions as demonstrated by the results of a randomized trial of unruptured brain arteriovenous malformation (ARUBA)study. Similarly, the role of acute craniotomy remains to be elucidated. This article describes our current strategy for those complex lesions and illustrates recent futuristic technologies and techniques aiming to improve outcomes in AVM surgeries. Particularly, the significance of patient selection, and the choice of preoperative and intraoperative endovascular treatment(hybrid surgery)are discussed.

Original language	English
Pages (from-to)	33-41
Number of pages	9
Journal	Japanese Journal of Neurosurgery
Volume	25
Issue number	1
DOIs	https://doi.org/10.7887/jcns.25.33
State	Published - 25 Jan 2016
Externally published	Yes

Keywords

Acute surgery
Cerebral arteriovenous malformation
Hybrid surgery
Preoperative endovascular therapy
Surgical technique

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10.7887/jcns.25.33

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AU - Kurita, Hiroki

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AU - Ikeda, Toshiki

AU - Takeda, Ririko

AU - Nakajima, Hiroyuki

AU - Yamaguchi, Yohei

PY - 2016/1/25

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N2 - Management strategies for cerebral arteriovenous malformations(AVM)have undergone considerable evolution with the advent of advance in surgical, endovascular, and radiosurgical technologies. However, controversy still remains regarding the indications for invasive treatment, especially for unruptured lesions as demonstrated by the results of a randomized trial of unruptured brain arteriovenous malformation (ARUBA)study. Similarly, the role of acute craniotomy remains to be elucidated. This article describes our current strategy for those complex lesions and illustrates recent futuristic technologies and techniques aiming to improve outcomes in AVM surgeries. Particularly, the significance of patient selection, and the choice of preoperative and intraoperative endovascular treatment(hybrid surgery)are discussed.

AB - Management strategies for cerebral arteriovenous malformations(AVM)have undergone considerable evolution with the advent of advance in surgical, endovascular, and radiosurgical technologies. However, controversy still remains regarding the indications for invasive treatment, especially for unruptured lesions as demonstrated by the results of a randomized trial of unruptured brain arteriovenous malformation (ARUBA)study. Similarly, the role of acute craniotomy remains to be elucidated. This article describes our current strategy for those complex lesions and illustrates recent futuristic technologies and techniques aiming to improve outcomes in AVM surgeries. Particularly, the significance of patient selection, and the choice of preoperative and intraoperative endovascular treatment(hybrid surgery)are discussed.

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KW - Cerebral arteriovenous malformation

KW - Hybrid surgery

KW - Preoperative endovascular therapy

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M3 - 記事

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Current treatment strategies and neurosurgical practice for cerebral AVMs

Abstract

Keywords

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