Radical Surgery in Cerebral AVM—Tactical Procedures Based upon Hemodynamic Factors

  • B. Pertuiset
  • D. Ancri
  • J. P. Sichez
  • M. Chauvin
  • E. Guilly
  • J. Metzger
  • D. Gardeur
  • J. Y. Basset
Part of the Advances and Technical Standards in Neurosurgery book series (NEUROSURGERY, volume 10)


A review by Mingrino on the surgical treatment of cerebral AVM has been published in vol. 5 of this series. Therefore we shall not restate classical concepts unless it is necessary to demonstrate our views.


Basilar Artery Operative Cavity External Ventricular Drainage Posterior Cerebral Artery Bone Flap 
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  1. 1.
    Cottrell, J. E., Bhagwandas, G., Rappaport, H., Turndorf, H., Ransohoff, J., Flamm, E. S., 1980: Intracranial pressure during nitroglycerin induced hypotension. J. Neurosurg. 53, 309–311.PubMedCrossRefGoogle Scholar
  2. 2.
    Drake, C. G., 1979: Cerebral arteriovenous malformations considerations for and experience with surgical treatment in 166 cases. Clin. Neurosurg. 26, 145–208.PubMedGoogle Scholar
  3. 3.
    Feindel, W., Yamamoto, Y. L., Hodge, C. P., 1971: Red cerebral veins and the cerebral steal syndrome: evidence from fluorescence in angiography and micro-regional blood flow by radioisotopes during excision of an angioma. J. Neurosurg. 35, 167–179.PubMedCrossRefGoogle Scholar
  4. 4.
    Greitz, T., 1956: A radiological study of the brain circulation by rapid serial angiography of the carotid artery. Acta Radiologica, Supplementum 140.Google Scholar
  5. 5.
    Jennings, G. L., Gelman, J. S., Stockigt, J. R., Korner, P. I., 1981: Accentuated hypotensive effect of nitroprusside in man after Captopril. Clin. Sci. 61, 521–526.PubMedGoogle Scholar
  6. 6.
    Kety, S. S., Schmidt, C. F., 1948: The effect of altered arterial tensions of carbon dioxide and oxygen on cerebral blood flow and cerebral oxygen comsumption of normal young men. J. Clin. Invest, 27, 484–492.CrossRefGoogle Scholar
  7. 7.
    Lassen, N. A., 1964: Autoregulation of cerebral blood flow. Circ. Res. 75, Suppl. 1, 201–204.Google Scholar
  8. 8.
    Miller, E. D., Jr., Ackerly, J. A., Vaughan, E. D., Jr., Peach, M. J., Epstein, R. M., 1977: The renin angiotensin system during controlled hypotension with sodium nitroprusside. Anaesthesiology 47, 257–262.CrossRefGoogle Scholar
  9. 9.
    Mingrino, S., 1978: Supratentorial arteriovenous malformations of the brain. In: Advances and Technical Standards in Neurosurgery (Krayenbühl, H., et al., eds.), Vol. 5, pp. 93–123. Wien-New York: Springer.CrossRefGoogle Scholar
  10. 10.
    Mullan, Sean, Brown, F. D., Patronas, N. J., 1979: Hyperemic and ischemic problems of surgical treatment of arterio venous malformations. J. Neurosurg. 51, 757–764.PubMedCrossRefGoogle Scholar
  11. 11.
    Murphy, J. P., 1954: Cerebrovascular Disease. Chicago: Year Book Publishers.Google Scholar
  12. 12.
    Norlen, G., 1949: Arteriovenous aneurysms of the brain. Report of ten cases of total removal of the lesion. J. Neurosurg. VI, 475–494Google Scholar
  13. 13.
    Nornes, H., Grip, A., Wikeby, P., 1979: Intraoperative evaluation of cerebral hemodynamics using directional Doppler technique. Part I. Arteriovenous malformations. J. Neurosurg. 50, 145–151.PubMedCrossRefGoogle Scholar
  14. 14.
    Nornes, H., Grip, A,, 1980: Hemodynamics aspects of cerebral arteriovenous malformations. J. Neurosurg. 53, 456–464.PubMedCrossRefGoogle Scholar
  15. 15.
    Olivecrona, H., Riives, J., 1948: Arteriovenous aneurysms of the brain. Their diagnosis and treatment, Arch. Neurol. Psychiat, (Chicago) 59, 567–602.Google Scholar
  16. 16.
    Penfield, W., Erickson, T. C., 1941: Epilepsy and Cerebral Localization: A Study of the Mechanism, Treatment and Prevention of Epileptic Seizures. Springfield, Ill.: Ch. C Thomas.Google Scholar
  17. 17.
    Pertuiset, B., Posada, T., Metzger, J., 1968: L’exérèse retrograde des malformations arterioveineuses des hémisphères cérébraux sans hématomes. Technique, indications, résultats. Ann. Chir. 22, 803–809.Google Scholar
  18. 18.
    Pertuiset, B., Galal, A., Sichez, J. P., Van Effenterre, R., Goutorbe, J., Dagreou, F., Jolly-Pottuz, G., 1976: Exérèse totale par voie ventriculaire de deux malformations arterioveineuses pallido-caudées sous hypotension profonde. Rev. Neurol. 132, 799–803.PubMedGoogle Scholar
  19. 19.
    Pertuiset, B., Sichez, J. P., Philippon, J., Fohanno, D., Hora, Y., 1979: Mortalité et morbidité après exérèse chirurgicale totale de 162 malformations arterioveineuses intracraniennes (1958–1978). Rev. Neurol. 135, 319–327.PubMedGoogle Scholar
  20. 20.
    Pertuiset, B., Ancri, D., Lienhart, A., 1981: Profound arterial hypotension (MAP ≤ 50 mm Hg) induced with neuroleptanalgesia and sodium nitroprusside (series of 531 cases). Reference to vascular autoregulation mechanism and surgery of vascular malformations of the brain. In: Advances and Technical Standards in Neurosurgery (Krayenbühl, H., et al., eds.), Vol. 8, pp. 75–122. Wien-New York: Springer.Google Scholar
  21. 21.
    Pertuiset, B., Ancri, D., Clergue, F., 1982: Preoperative evaluation of hemodynamic factors in cerebral arteriovenous malformations for selection of a radical surgery tactic with special reference to vascular autoregulation disorders. Neurol. Res. 4, 209–233.PubMedGoogle Scholar
  22. 22.
    Risberg, J., Smith, P., 1980: Prediction of hemispheric blood flow from carotid velocity measurements. Stroke 11, 399–402.PubMedCrossRefGoogle Scholar
  23. 23.
    Serbinenko, F. A., 1983: The endovascular treatment of arterio venous malformations in the brain. 7th European Neurosurgical Congress Brussels, Abstracts p. 6.Google Scholar
  24. 24.
    Spetzler, R. F., Wilson, C. B., Weinstein, P., Mehdorn, M., Townsend, J., Telles, D., 1978: Normal perfusion pressure breakthrough theory. Clin. Neurosurg. 25, 651–672.PubMedGoogle Scholar
  25. 25.
    Wilson, C. B., Wilson, U. H. S., Domingue, J., 1979: Microsurgical treatment of intracranial vascular malformations. J. Neurosurg. 51, 446–454.PubMedCrossRefGoogle Scholar
  26. 26.
    Woodside, J. R., Garner, L., Bedford, R, F., Miller, E. D., Longnecker, D. E., Apstein, R. M., 1982: Captopril reduces the dose requirement for SNP induced hypotension. Anaesthesiology 57, A61.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1983

Authors and Affiliations

  • B. Pertuiset
    • 1
  • D. Ancri
    • 2
  • J. P. Sichez
    • 1
  • M. Chauvin
    • 3
  • E. Guilly
    • 3
  • J. Metzger
    • 4
  • D. Gardeur
    • 4
  • J. Y. Basset
    • 2
  1. 1.Clinique NeurochirurgicaleHôpital de la PitiéParisFrance
  2. 2.Service de Biophysique et Médecine NucléaireHôpital de la PitiéParisFrance
  3. 3.Service d’AnesthésiologieHôpital de la PitiéParisFrance
  4. 4.Service de NeuroradiologieHôpital de la PitiéParisFrance

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