Iranian Congress of Radiology

Iranian Congress of Radiology

Endovascular Treatment of Brain Arteriovenous Malformations

Author
Associate Professor of Radiology Head of Interventional Radiology Dept Shirz University of Medical Science Shiraz Iran
10.22034/icrj.2023.179349
Abstract
Tools include:
Digital    subtraction   catheter    cerebral angiography and reformatted cross-sectional views when appropriate is recommended in the pre-treatment assessment of cerebral AVMs . Aim of endovascular treatment are:

Embolization of brain AVMs before surgical resection
Primary curative embolization
Targeted embolization of high-risk features of ruptured AVMs to reduce the risk for recurrent hemorrhage 3- Palliative embolization may be useful to treat symptomatic AVMs
Embolization as an adjunct to In an acutely ruptured AVM, endovascular treatment can occlude intra-nidal or flow- related aneurysms when determined to be the likely source of bleeding, especially when correlated with the pattern of hemorrhage on

cross-sectional imaging. Transvenous embolization more recently, (high complete occlusion rates and reasonably low complication rates). Proposed indications for this approach include a small (diameter <3 cm) and compact AVM nidus, deep or eloquent AVM location, hemorrhagic presentation, single draining vein, inaccessible arterial pedicles, exclusive arterial supply by perforators, or en passage feeding arteries Imaging follow-up after apparent cure of brain AVMs is recommended to assess for recurrence. Although non-invasive imaging may be used for longitudinal follow-up, DSA remains the gold standard

Volume 38, Issue 3
Summer 2023
Pages 92-92

  • Receive Date 18 September 2023