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Embolization of Cerebral Arteriovenous Malformations

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Abstract

Effective treatment of cerebral arteriovenous malformations (AVMs) requires a multidisciplinary approach that appropriately applies the complementary modalities of microsurgical resection, endovascular embolization, and radiosurgery. Embolization is most commonly used as an adjunct to reduce the arterial supply to the AVM before surgery or radiosurgery. Additional indications for embolization include an attempt to achieve complete AVM obliteration, targeted treatment to eliminate high-risk features, and subtotal occlusion to palliate symptoms caused by an otherwise incurable AVM. In all cases, the risks and benefits of treatment must be weighed carefully when formulating a treatment strategy. For optimal management of cerebral AVMs, patients should have access to physicians experienced in open cerebrovascular surgery, endovascular embolization, and radiosurgery.

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Acknowledgments

The authors would like to thank the Neuroscience Publications staff of Barrow Neurological Institute for their invaluable assistance in the preparation of this chapter.

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  1. Department of Neurosurgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, AZ, USA

    Bruno C. Flores MD, Alfred P. See MD, Andrew F. Ducruet MD & Felipe C. Albuquerque MD

  2. c/o Neuroscience Publications; Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, AZ, USA

    Felipe C. Albuquerque MD

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  1. Bruno C. Flores MD
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  2. Alfred P. See MD
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  3. Andrew F. Ducruet MD
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  4. Felipe C. Albuquerque MD
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Correspondence to Felipe C. Albuquerque MD .

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  1. Middle German Heart Center and Health Care Center Bitterfeld-Wolfen, gGmbH, Bitterfeld-Wolfen, Germany

    Peter Lanzer

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Flores, B.C., See, A.P., Ducruet, A.F., Albuquerque, F.C. (2018). Embolization of Cerebral Arteriovenous Malformations. In: Lanzer, P. (eds) Textbook of Catheter-Based Cardiovascular Interventions. Springer, Cham. https://doi.org/10.1007/978-3-319-55994-0_69

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  • DOI: https://doi.org/10.1007/978-3-319-55994-0_69

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