Brain AVMs: an endovascular, surgical, and radiosurgical update.
Brain arteriovenous malformations (bAVMs) are complex vascular lesions. Despite multiple studies, several classifications, and a great interest of the scientific community, case selection in AVM patients remains challenging. During the last few years, tremendous advancements widened therapeutic options and improved outcomes spreading indications for patients harboring lesions deemed inoperable in the past. Anatomical and biological case specific features, and natural history with a focus on presenting symptoms should be evaluated case by case and always kept in mind while planning a therapeutic management for a bAVMs. A multidisciplinary approach is strongly recommended when dealing with bAVMs and should involve physicians expertise in this kind of challenging lesions. The goal of this paper is to provide a focused review of the most recent acquisitions and therapeutic strategies regarding surgical, endovascular, and radiosurgical treatment.
Department of Neurology and Psychiatry, Endovascular Neurosurgery/Interventional Neuroradiology, "Sapienza" University of Rome, Viale del Policlinico 155, 00100 Rome, Italy.
Simone
0000-0002-3920-8517
S
Peschillo
Department of Neurology and Psychiatry, Neurosurgery, "Sapienza" University of Rome, Rome, Italy.
Alessandro
A
Caporlingua
Department of Neurology and Psychiatry, Neuroradiology, "Sapienza" University of Rome, Italy.
Claudio
C
Colonnese
Department of Neurology and Psychiatry, Interventional Neuroradiology, "Sapienza" University of Rome, Italy.
Giulio
G
Guidetti
D001921:Brain / Q000002:abnormalities / Q000098:blood supply / Q000601:surgery; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis* / Q000601:surgery*; D016634:Radiosurgery / Q000379:methods*