Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 350 West Thomas Road, Phoenix, AZ 85013, USA.
Neuroimaging Clin N Am. 2013 Nov;23(4):605-24. doi: 10.1016/j.nic.2013.03.009. Epub 2013 May 18.
Treatment of arteriovenous malformations of the central nervous system requires a multidisciplinary approach with input from vascular neurosurgeons, endovascular interventionalists, and radiation oncologists. Treatment paradigms based on a thorough understanding of the natural history of the lesion and the cumulative risks of multimodality treatment maximize the likelihood of a positive outcome. This article outlines the role of endovascular embolization in the treatment of arteriovenous malformations with specific emphasis on decision making during treatment planning. Technical considerations when treating arteriovenous malformations are discussed, including the choice of embolic agents, potential intraprocedural and periprocedural complications, and postprocedural management of patients.
中枢神经系统动静脉畸形的治疗需要多学科方法，包括血管神经外科医生、血管内介入治疗医生和放射肿瘤学家的共同参与。基于对病变自然史和多模态治疗累积风险的深入了解，制定治疗方案，可最大限度地提高治疗效果。本文概述了血管内栓塞在动静脉畸形治疗中的作用，重点讨论了治疗计划制定过程中的决策。本文还讨论了治疗动静脉畸形时的技术注意事项，包括栓塞剂的选择、潜在的术中及围手术期并发症，以及患者的术后管理。
