Summary
35 Patients with cerebral arteriovenous malformations treated by endovascular embolization were analyzed. The treatment was performed in most cases with polyvinylalcohol with additional applications of silk, coils, gelfoam or detachable balloon in some patients. 8 patients developing mild to moderate neurological deficits persisting in three patients (8.6%). No correlation of complications with history of bleeding, neurological deficit, AVM localization, AVM size, angioarchitecture, amount of occlusion and duration of the procedure could be found. Technical factors of the procedure itself are assumed to be responsible for the rate of complications.
Similar content being viewed by others
References
Yasargil MG (1987) AVM of the brain. Microneurosurgery IIIA. Thieme, Stuttgart
Day AL, Friedman WA, Sypert GW, Mickle YP (1982) Successful treatment of the normal perfusion pressure breakthrough syndrome. Neurosurgery 11: 625–630
Drake CG (1979) Cerebral arteriovenous malformations: considerations for an experience with surgical treatment in 166 cases. Clin Neurosurg 26: 145–208
Pertuiset B, Ancri D, Sichez YP, Chauvin M, Guilly E, Metzger J, Gardens D, Basset JY (1983) Radical surgery in cerebral AVM-tactical procedures based upon hemodynamic factors. In: Krayenbühl H et al. (eds) Advances and technical standards. Springer, Wien (Neurosurgery, vol X, pp 83–143)
Wilson CB, York C (1980) Intracranial arteriovenous malformations. In: Wilson CB, Hoff JT (eds) Current surgical management of neurologic disease. Churchill Livingstone, New York, pp 182–190
Yamada S (1982) Arteriovenous malformations in the functional area. Surgical treatment and regional cerebral blood flow. Neurosurg Res 4: 283–322
Crawford PH, West CR, Chadwick DW, Shaw MDM (1986) Arteriovenous malformations of the brain: natural history in unoperated patients. J Neurol Neurosurg Psychiatry 49: 1–10
Fults D, Kelly DL Jr (1984) Natural history of arteriovenous malformations of the brain: a clinical study. Neurosurgery 15: 658–662
Spetzler RF, Wilson CB, Weinstein P (1978) Normal perfusion pressure breakthrough theory. Clin Neurosurg 25: 651–672
Luessenhop AJ, Spence WT (1960) Artificial embolization of cerebral arteries. Report of use in a case of arteriovenous malformation. JAMA 172: 1153–1155
Vinuela F, Dion J, Lylyk P, Duckwiler G (1989) Update on interventional neuroradiology. AJR 153: 23–37
Pelz DM, Fox AJ, Vinuela F, Drake CC, Ferguson GG (1988) Preoperative embolization of brain AVMs with isobutyl-2-cyanoacrylate. AJNR 9: 757–764
Berenstein A, Choi IS, Kupersmith M, Benjamin V, Madrid M (1989) Complications of endovascular embolization in 202 patients with cerebral AVMs. Presented at the Congress of the American Society of Neuroradiology, Orlando, Florida, March 28, 1989
Merland JJ, Rüfenacht D, Laurent A, Guimaraens L (1986) Endovascular treatment with isobutyl cyanoacrylate in patients with arteriovenous malformation of the brain. Indications, results and complications. Acta Radiol [Suppl] 369: 621–622
Author information
Authors and Affiliations
Additional information
Dedicated to Prof. Wenz on the occasion of his 65th birthday
Rights and permissions
About this article
Cite this article
Schumacher, M., Horton, J.A. Treatment of cerebral arteriovenous malformations with PVA. Neuroradiology 33, 101–105 (1991). https://doi.org/10.1007/BF00588243
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00588243