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The Backward Technique in the Total Excision of Cerebral Arteriovenous Malformations: Experience With 86 Cases

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Treatment of Hydrocephalus Computer Tomography

Part of the book series: Advances in Neurosurgery ((NEURO,volume 6))

Abstract

Regarding the radical excision of the cerebral arterovenous malformation (AVM) all textbooks advise isolating and clipping or ligating first the arterial trunks supplying the malformation before dissecting it, and to terminate the operation by coagulating or clipping the venous drainage. This strategy was recommended by DANDY (1) who reported a disastrous issue in one case of a primary ligation of the venous drainage. One must remember that at that time angiograms were not available, and the patient was under local anesthesia. Nevertheless, since then everyone has followed this apparently rational recommendation.

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References

  1. DANDY, W.E.: Surgery of the Brain. Hagerstown ( Maryland ): W.F. Prior 1945

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  2. PERTUISET, B., POSADA, T., METZGER, J.: L’exérèse rétrograde des malformations arterio-veineuses des hémisphéres cérébraux sans hématome. Technique, indications et résults. Ann. Chir. 22, 803–809 (1968)

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  3. PERTUISET, B., GALAL, A., SICHEZ, J.P., VAN EFFENTERRE, R., GOUTORBE, J., DAGREOU, F., JOLLY-POTTU Z, G.: Exérèse totale par voie ventriculaire de deux malformations arterio-veineuses pallidocaudees sous hypotension profonde. Rev. Neurol. 132, 799–803 (1976)

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  4. PERTUISET, B., ANCRI, D., GOUTORBE, J.: Variations du volume sanguine cérérebral local en fonction de la pression artérielle moyenne chez l’homme. Rev. Neurol. 132, 213–218 (1976)

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Authors
  1. B. Pertuiset
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  2. J. P. Sichez
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Editors and Affiliations

  1. Neurochirurgische Klinik, Klinikum Westend, Freie Universität Berlin, Spandauer Damm 130, D-1000, Berlin 19, Germany

    Rolf Wüllenweber

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© 1978 Springer-Verlag Berlin Heidelberg

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Pertuiset, B., Sichez, J.P. (1978). The Backward Technique in the Total Excision of Cerebral Arteriovenous Malformations: Experience With 86 Cases. In: Wüllenweber, R., Wenker, H., Brock, M., Klinger, M. (eds) Treatment of Hydrocephalus Computer Tomography. Advances in Neurosurgery, vol 6. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67082-4_26

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  • DOI: https://doi.org/10.1007/978-3-642-67082-4_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67084-8

  • Online ISBN: 978-3-642-67082-4

  • eBook Packages: Springer Book Archive

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