title: Treatment of complex neurovascular lesions: an interdisciplinary angio suite approach.
abstract: OBJECTIVE
  The objective of this study was to analyse our initial experience using an interdisciplinary angio suite approach to neurosurgical treatment of complex neurovascular lesions and expound technical feasibility and possible applications.
  
  
  METHODS
  Six out of 451 patients with cranial or spinal neurovascular lesions were surgically treated in the angio suite (biplane angiographic system) during a 28-month observation period. Clinical baseline data, radiological and intraoperative findings as well as clinical and radiological outcome were assessed.
  
  
  RESULTS
  A ventral spinal perimedullary arteriovenous malformation, a ventral spinal perimedullary fistula, two diffuse frontal dural arteriovenous fistulas, a multifocal temporal arteriovenous malformation and a partially embolized fronto-temporo-basal dural arteriovenous fistula were successfully treated with angiographically confirmed complete occlusion and unimpaired neurological condition of the patients at the 12-month follow up.
  
  
  CONCLUSIONS
  This study demonstrates the feasibility of this approach and points out possible indications, namely ventrally located spinal lesions and diffuse, deep seated cranial lesions.
authors.affiliation: Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122 Essen, Germany.
authors.forename: Philipp
authors.initials: P
authors.lastname: Dammann
authors.affiliation: Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Breyer
authors.affiliation: Department of Neurosurgery, University Hospital Essen, Germany.
authors.forename: Karsten H
authors.initials: KH
authors.lastname: Wrede
authors.affiliation: Department of Neurosurgery, University Hospital Essen, Germany.
authors.forename: Klaus-Peter
authors.initials: KP
authors.lastname: Stein
authors.affiliation: Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany Department of Neuroradiology, Hirslanden Clinic, Zurich, Switzerland.
authors.forename: Isabel
authors.initials: I
authors.lastname: Wanke
authors.affiliation: Department of Neuroradiology, University Hospital Innsbruck, Medical University Innsbruck, Austria.
authors.forename: Astrid E
authors.initials: AE
authors.lastname: Grams
authors.affiliation: Department of Neuroradiology, University Hospital Innsbruck, Medical University Innsbruck, Austria.
authors.forename: Elke R
authors.initials: ER
authors.lastname: Gizewski
authors.affiliation: Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany.
authors.forename: Marc
authors.initials: M
authors.lastname: Schlamann
authors.affiliation: Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Forsting
authors.affiliation: Department of Neurosurgery, University Hospital Essen, Germany.
authors.forename: I Erol
authors.initials: IE
authors.lastname: Sandalcioglu
authors.affiliation: Department of Neurosurgery, University Hospital Essen, Germany.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Sure
keywords: arteriovenous malformation; dural arteriovenous fistula; intraoperative angiography; neurovascular; surgical treatment