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Intraoperative angiography in the surgical treatment of cerebral arteriovenous malformations and fistulas.
- Source :
-
Acta neurochirurgica [Acta Neurochir (Wien)] 2003 May; Vol. 145 (5), pp. 377-82; discussion 382-383. - Publication Year :
- 2003
-
Abstract
- Background: The role of intraoperative angiography in the surgical treatment of cerebrovascular malformations remains controversial. The authors report on their experiences with intraoperative angiography in a series of 20 cases with cerebrovascular malformation to determine whether the use of intraoperative angiography has a favorable impact on the surgical treatment of cerebrovascular malformations.<br />Methods: Intraoperative angiography was performed in the surgical resection of arteriovenous malformation in 18 patients and in the surgical obliteration of arteriovenous fistula in 2 patients. The incidence of unexpected findings, such as residual nidus, demonstrated by intraoperative angiography was determined.<br />Findings: High-quality subtraction images were obtained by intraoperative angiography in every case and the findings prompted an additional procedure in 1 case that displayed an unexpected residual nidus (5.6%). There were no complications from the intraoperative angiography procedure.<br />Interpretation: Intraoperative assessment of technical results prior to wound closure offers the neurosurgeon the opportunity to resect or obliterate a vascular malformation completely, obviating a second operation.
- Subjects :
- Adolescent
Adult
Aged
Child
Female
Humans
Intraoperative Period
Male
Middle Aged
Neurosurgical Procedures
Arteriovenous Fistula diagnostic imaging
Arteriovenous Fistula surgery
Cerebral Angiography
Cerebral Arteries diagnostic imaging
Cerebral Arteries surgery
Cerebral Veins diagnostic imaging
Cerebral Veins surgery
Intracranial Arteriovenous Malformations diagnostic imaging
Intracranial Arteriovenous Malformations surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0001-6268
- Volume :
- 145
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Acta neurochirurgica
- Publication Type :
- Academic Journal
- Accession number :
- 12820044
- Full Text :
- https://doi.org/10.1007/s00701-003-0017-2