title: Endovascular and microsurgical treatment of cerebral arteriovenous malformations: Current recommendations.
abstract: BACKGROUND
  Cerebral arteriovenous malformations (AVMs) can be a heterogeneous pathological entity whose management requires a complex decision-making process due to the risks associated with their treatment and natural history. Despite the recently published conclusions of the aborted Randomized Trial of Brain Unruptured AVMs (ARUBA) trial, the authors of this article believe multimodality intervention in general and microsurgical resection in particular continue to play a major role in the management of carefully selected ruptured or unruptured AVMs.
  
  
  METHODS
  The authors provide an overview of their methodology for endovascular intervention and microsurgical resection and share their technical nuances for successful embolization and microsurgical resection of AVMs with special emphasis on complication avoidance.
  
  
  RESULTS
  The authors have achieved successful outcomes in embolization and resection of cerebral AVMs when using their methodology.
  
  
  CONCLUSIONS
  These lesions are among the most technically difficult pathological entities handled by the cerebrovascular specialist, and an overview of technical concepts to help systematize this challenging and variable endeavor can improve the safety of their treatment.
authors.affiliation: Department of Neurosurgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Conger
authors.affiliation: Goodman Campbell Brain and Spine, Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Kulwin
authors.affiliation: University of California San Francisco, San Francisco, California, USA.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Lawton
authors.affiliation: Goodman Campbell Brain and Spine, Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
authors.forename: Aaron A
authors.initials: AA
authors.lastname: Cohen-Gadol
keywords: Complications; intracranial arteriovenous malformation; microsurgical resection; technique