1. Malformaciones arteriovenosas cerebrales: evolución natural e indicaciones de tratamiento.
- Author
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De León, Ángel MartÍnez-Ponce, Alanís-Reséndiz, Hilado Paúl, Elizondo-Riojas, Guillermo, Cabañas-Corona, Eduardo Alberto, and Morales-García, Víctor Daniel
- Subjects
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BRAIN blood-vessel abnormalities , *CEREBRAL arteriovenous malformations , *HUMAN abnormality etiology , *ETIOLOGY of diseases , *PRECANCEROUS conditions , *SURGERY , *ENDOVASCULAR surgery , *NEUROSURGERY , *CLINICAL trials , *THERAPEUTICS - Abstract
Recently there has been a renewal in the medical community around the world towards brain arteriovenous malformations (AVMs). Part of this is due to the appearance of recent publications challenging its etiology, universally accepted as congenital This made us notice how limited is our understanding about the development, evolution and behavior of these lesions. Endovascular neurosurgery for these lesions has been added as a new treatment option in the last decades, and it has made us understand that the treatment of these lesions is multidisciplinary. Finally, the wide distribution of the non-invasive imagining studies has allowed us to have a population of patients who were not studied in an isolated form in previous clinical studies: the unruptured and/or incidental AVMs. Increasing controversy exists on the management and treatment of these patients. In this paper we review the basic concepts of AVMs and compare them with recent publications including the ongoing study ARUBA (A Randomized Multicenter Clinical Trial of Unruptured Brain AVMs). We also discuss different treatment modalities and our approach in the management of patients with these lesions. [ABSTRACT FROM AUTHOR]
- Published
- 2009