title: Compressive hematoma and deep arteriovenous malformation: Emergency endovascular occlusion via a venous approach with surgical evacuation of the hematoma.
abstract: Compressive hematoma associated with deep arterio-venous malformation is a difficult surgery. Arterial presurgical embolization is often indicated but rarely effective. Endovascular occlusion via a venous approach is a technique that has recently been undertaken successfully to treat certain types of sub-pial vascular malformation. The venous endovascular approach has succeeded in a 20-year-old man of who presented with a compressive hematoma due to rupture of a deep arteriovenous malformation. By fully endovascular occlusion, the surgery consisted of surgical removal of the hematoma, with reduced cortical damage.
authors.affiliation: Unité de NeuroInterventionnelle, Hôpital St Roch, France jsedat@yahoo.fr.
authors.forename: Jacques
authors.initials: J
authors.lastname: Sedat
authors.affiliation: Unité de NeuroInterventionnelle, Hôpital St Roch, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Chau
authors.affiliation: Unité de NeuroInterventionnelle, Hôpital St Roch, France.
authors.forename: Marina
authors.initials: M
authors.lastname: Sachet
authors.affiliation: Unité de Neuroréanimation, Hôpital Pasteur, France.
authors.forename: Florian
authors.initials: F
authors.lastname: Cattet
authors.affiliation: Unité de Neurochirurgie, Hôpital Pasteur, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Lonjon
mesh_terms: D003422:Critical Care / Q000379:methods; D019299:Decompression, Surgical / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods*; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D015641:Radiography, Interventional / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult
keywords: Deep arterio-venous malformation; embolization; surgery
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