Shi X E, Wang Z C, Dai J P
Department of Neurosurgery, Tiantan Hospital, Beijing.
Chin Med J (Engl). 1993 Nov;106(11):851-6.
Twelve patients with large arteriovenous malformations (AVMs) were subjected to endovascular embolization followed by surgery. Of the 12 patients, 9 were males and 3 females. Their age ranged from 11 to 37 years. Eleven AVM nidi were more than 6 cm in diameter and one AVM, located in a crucial brain area, was 4 cm in diameter. More than 70% of the AVM masses were excised in 11 of the patients, while under 50% was excised in the remaining patient. Complete excisions of the lesions were achieved in all 12 patients 7-10 days after endovascular embolization. No new major neurological deficits occurred. The results showed that the cerebral AVMs can be effectively operated on after endovascular embolization.
12例患有大型动静脉畸形（AVM）的患者接受了血管内栓塞治疗，随后进行了手术。12例患者中，男性9例，女性3例。年龄范围为11至37岁。11个AVM病灶直径超过6厘米，1个位于关键脑区的AVM直径为4厘米。11例患者中超过70%的AVM肿块被切除，而其余患者的切除率低于50%。血管内栓塞术后7至10天，所有12例患者的病变均实现了完全切除。未出现新的严重神经功能缺损。结果表明，血管内栓塞术后脑AVM可以有效地进行手术治疗。
