Modern radiosurgical and endovascular classification schemes for brain arteriovenous malformations

2018 ◽  
Vol 43 (1) ◽  
pp. 49-58
Author(s):  
Ali Tayebi Meybodi ◽  
Michael T. Lawton
Author(s):  
Giovanni Marco Sicuri ◽  
Nicola Galante ◽  
Roberto Stefini

AbstractBrain arteriovenous malformations (AVMs) classification has been the subject of extensive discussion. The aim of our work was to review the main classification schemes proposed in the literature, which can be summarized in four main groups: (a) traditional schemes oriented to evaluate the operability of AVMs have been joined by (b) specific classifications that evaluate the outcome and the predictability of obliteration of other treatment modalities and (c) others that evaluate the outcome of intracerebral hemorrhages in ruptured AVMs. Eventually, (d) topographical classifications that categorize the subtypes of AVMs located in specific anatomical regions have been drawn. For each classification, we discuss the implications on surgical management.


2020 ◽  
Author(s):  
Romain Capocci ◽  
Mihaela Bustuchina Vlaicu ◽  
Eimad Shotar ◽  
Bertrand Mathon ◽  
Mariette Delaitre ◽  
...  

Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 215
Author(s):  
Lukasz Antkowiak ◽  
Monika Putz ◽  
Marta Rogalska ◽  
Marek Mandera

Bleeding from ruptured brain arteriovenous malformations (bAVMs) represents the most prevalent cause of pediatric intracranial hemorrhage, being also the most common initial bAVM manifestation. A therapeutic approach in these patients should aim at preventing rebleeding and associated significant morbidity and mortality. The purpose of this study was to determine the clinical outcomes of pediatric patients who initially presented at our institution with ruptured bAVMs and to review our experience with a multimodality approach in the management of pediatric ruptured bAVMs. We retrospectively reviewed pediatric patients’ medical records with ruptured bAVMs who underwent interventional treatment (microsurgery, embolization, or radiosurgery; solely or in combination) at our institution between 2011 and 2020. We identified 22 patients. There was no intraoperative and postoperative intervention-related mortality. Neither procedure-related complications nor rebleeding were observed after interventional treatment. Modified Rankin Scale (mRS) assessment at discharge revealed 19 patients (86.4%) with favorable outcomes (mRS 0–2) and 3 patients (13.6%) classified as disabled (mRS 3). Microsurgery ensured the complete obliteration in all patients whose postoperative digital subtraction angiography (DSA) was available. Management of high-grade bAVMs with radiosurgery or embolization can provide satisfactory outcomes without a high disability risk.


Neurosurgery ◽  
2000 ◽  
Vol 47 (2) ◽  
pp. 389-397 ◽  
Author(s):  
Mitchell F. Berman ◽  
Robert R. Sciacca ◽  
John Pile-Spellman ◽  
Christian Stapf ◽  
E. Sander Connolly ◽  
...  

Brain ◽  
2010 ◽  
Vol 134 (1) ◽  
pp. 100-109 ◽  
Author(s):  
Jorn Fierstra ◽  
John Conklin ◽  
Timo Krings ◽  
Marat Slessarev ◽  
Jay S. Han ◽  
...  

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