Surgical embolization of cerebral arteriovenous malformations through internal carotid and vertebral arteries. Long-term results.
The authors describe the clinical results of surgical embolization in 55 patients with large cerebral arteriovenous malformations. Follow-up intervals ranged from 2 months to 14 years, averaging 4 1/2 years. The authors believe the procedure is safe in properly selected patients and is useful as a preliminary to direct surgical excision. It relieves associated headaches, and usually reverses or stabilizes a progressive neurological deficit. The potential for seizures probably is not altered. The incidence of hemorrhage following embolization is low for patients with no previous history of hemorrhage; however, the procedure does not reduce the likelihood of recurrence in patients with a prior history of hemorrhage.
D002343:Carotid Artery, Internal; D002404:Catheterization / Q000009:adverse effects / Q000379:methods; D002543:Cerebral Hemorrhage / Q000209:etiology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications / Q000601:surgery*; D002542:Intracranial Embolism and Thrombosis; D008863:Microspheres; D012008:Recurrence; D012640:Seizures / Q000150:complications; D012826:Silicone Elastomers / Q000627:therapeutic use; D014653:Vascular Headaches / Q000209:etiology / Q000601:surgery; D014711:Vertebral Artery
D012826:Silicone Elastomers