The role of neuroendovascular therapy for the treatment of brain arteriovenous malformations.
Neuroendovascular 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.
Fiorella
David
D
Department of Neuroradiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. fioreld@ccf.org
Albuquerque
Felipe C
FC
Woo
Henry H
HH
McDougall
Cameron G
CG
Rasmussen
Peter A
PA
D001807:Blood Vessel Prosthesis / Q000639:trends*; D002404:Catheterization / Q000639:trends*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000639:trends*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000628:therapy*; D019635:Neurosurgical Procedures / Q000639:trends*; D016634:Radiosurgery / Q000639:trends*; D019651:Plastic Surgery Procedures / Q000639:trends; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000639:trends*