Abstract
For assessment of treatment of intracranial arteriovenous malformations (AVMs) it is important to know the natural history. The incidence of intracranial AVMs in the population is 0.5%. The risk of bleeding is 3% per year. The mortality with bleeding is 10% and the morbidity is 30% [2, 3, 4]. Since the introduction of microsurgical techniques there has been a tremendous improvement in treatment. In spite of this there are still many large AVMs in vulnerable areas of the brain which are hardly or not at all accessible to surgical treatment. The development of endovascular superselective techniques has given us a powerful alternative [1, 5, 7]. The aim of treatment is radical occlusion of the AVM for prevention of bleeding.
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References
Debrun G, Vinuela F, Fox A, Drake CG (1982) Embolization of cerebral arteriovenous malformations with bucrylate. J Neurosurg 56:615–627
Fults D, Kelly DL Jr (1984) Natural history of arteriovenous malformations of the brain: a clinical study. Neurosurgery 16:658–662
Graf CJ, Perret GE, Torner JC (1983) Bleeding from cerebral arteriovenous malformations as part of their natural history. J Neurosurg 58:331–337
Jane JA, Kassell NF, Torner JC, Winn HR (1985) The natural history of aneurysms and arteriovenous malformations. J Neurosurg 62:321–323
Picard L, Moret J, Lepoire (1984) Traitement endovasculaire des angiomes artériovei-neux intracérébrauc. Technique-Indication-Résults. J Neuroradiol 11:9–28
Vinters HV, Lundie MJ, Kaufmann JCE (1986) Long-term pathological follow-up of cerebral arteriovenous malformations treated by embolization with bucrylate. N Engl J Med 314:477–483
Vinuela F (1985) Interventional therapy of intracerebal angiomas. In: Poeck K, Freund HJ, Gänshirt H (eds) Proceedings of the XIIIth world congress of neurology. Springer, Berlin Heidelberg New York
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© 1991 Springer-Verlag Berlin Heidelberg
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Wijnalda, D., Tjan, T.G. (1991). Results of Combined Endovascular and Surgical Treatment of Intracranial Arteriovenous Malformations. In: Bock, W.J., Lumenta, C., Brock, M., Klinger, M. (eds) Intracranial Angiomas Neurosurgical Intensive Care Supratentorial Tumors in Children. Advances in Neurosurgery, vol 19. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76182-9_9
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DOI: https://doi.org/10.1007/978-3-642-76182-9_9
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