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Arteriovenous Malformations of the Anterior Fossa

  • Srikanth R. Boddu
  • Thomas W. Link
  • Jared Knopman
  • Philip E. Stieg
Chapter

Abstract

The modern management of the cerebral arteriovenous malformations (AVMs) is based on multidisciplinary and multimodality treatment approach including endovascular embolization, microsurgery, and stereotactic radiosurgery. Complications are well established in the microsurgical treatment of the cerebral arteriovenous malformations (AVMs). Higher complication rate can potentially reflect in poor patient outcome. Thorough knowledge of the natural history, detailed understanding of the angioarchitectural features, and awareness of the risk factors for hemorrhage are essential in the decision analysis for treatment of the cerebral AVMs. Appropriate patient selection, treatment strategy, choice of equipment, and being aware of ones’ own limitations are vital in minimizing the complications. Complication awareness and high index of suspicion helps in early detection of complications. Having a well-thought-out plan for dealing with individual complications may make the difference between an uneventful outcome and death. In this chapter, we discuss the potential complications in the endovascular and microsurgical treatment of the cerebral AVMs and provide suggestions for avoidance and management of the complications based on the literature review and authors’ institutional experience.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Srikanth R. Boddu
    • 1
  • Thomas W. Link
    • 1
  • Jared Knopman
    • 1
  • Philip E. Stieg
    • 1
  1. 1.Division of Interventional Neuroradiology, Department of Neurological SurgeryWeill Cornell Medical Center/New York Presbyterian HospitalNew YorkUSA

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