[Endovascular embolization of cerebral arteriovenous malformation].
OBJECTIVE
To evaluate the effect of endovascular embolization with alpha-NBCA on cerebral arteriovenous malformation with NBCA and emphasize the mainpoint of the embolizing technique.


METHODS
469 patients with cerebral arteriovenous malformation underwent endovascular embolization with alpha-NBCA by using microcatheter under digital subtraction angiography.


RESULTS
469 patients were treated successfully, 467 cases recovered clinically, 2 patients died. 469 patients underwent embolization therapy 1 108 times, ranging 1 to 8 times with an average of 2.3 times. 100% embolization was achieved in 155 cases, 90% approximately 100% in 93, 80% approximately 90% in 105, 70% approximately 80% in 78, 60% approximately 70% in 27, below 60% in 11. Nineteen cases received gamma-knife (or X-knife) therapy alone. 117 cases received gamma-knife (or X-knife) therapy after embolization, 32 cases received operations. Six cases suffered from different complications: 1 case with cerebral infarction recovered after urokinase injection, 4 cases suffered from intracranial hemorrhage, and 1 suffered from catheter resorting in nidus.


CONCLUSIONS
Endovascular embolization is a safe, reliable and effective treatment for cerebral arteriovenous malformation.
Department of Neurosurgery, Pearl River Hospital, The First Military Medical University, Guangzhou 510282, China.
Tielin
T
Li
Chuanzhi
C
Duan
Qiujing
Q
Wang
Fangming
F
Yin
Gang
G
Zhao
Zhian
Z
Han
Qing
Q
Huang
Ruxiang
R
Xu
D000293:Adolescent; D000328:Adult; D002648:Child; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000532:radiotherapy / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy; D016896:Treatment Outcome