Abstract
The strategy for treating arteriovenous malformations (AVMs) has undergone changes and long-term follow-up results remain unclear. To compare the outcomes of different treatment strategies, we divided 112 patients with 113 AVMs into groups with hemorrhagic (n = 71, 62.8%) and nonhemorrhagic (n = 42, 37.2%) AVMs and subdivided these according to the period in which they were treated (before/after 1990). In the more recent period, treatment more frequently involved the use of the gamma-knife and microembolization to the AVM as well as combination therapy. Long-term follow-up showed that the complication rate was lower and the Rankin scale better, in the more recently treated group. Based on our findings we suggest that AVMs should be treated aggressively using a multimodality strategy.
MeSH terms
-
Adolescent
-
Adult
-
Aged
-
Brain / diagnostic imaging
-
Brain / pathology
-
Brain / surgery
-
Cerebral Arteries / diagnostic imaging
-
Cerebral Arteries / pathology
-
Cerebral Arteries / surgery
-
Cerebral Hemorrhage / pathology
-
Cerebral Hemorrhage / prevention & control
-
Cerebral Hemorrhage / therapy
-
Cerebral Veins / diagnostic imaging
-
Cerebral Veins / pathology
-
Cerebral Veins / surgery
-
Child
-
Child, Preschool
-
Combined Modality Therapy / methods
-
Combined Modality Therapy / statistics & numerical data
-
Combined Modality Therapy / trends
-
Decision Trees
-
Embolization, Therapeutic / statistics & numerical data
-
Embolization, Therapeutic / trends
-
Female
-
Humans
-
Infant
-
Infant, Newborn
-
Intracranial Arteriovenous Malformations / diagnostic imaging
-
Intracranial Arteriovenous Malformations / pathology
-
Intracranial Arteriovenous Malformations / therapy*
-
Male
-
Middle Aged
-
Neurosurgical Procedures / methods*
-
Neurosurgical Procedures / statistics & numerical data
-
Neurosurgical Procedures / trends*
-
Radiography
-
Radiosurgery / statistics & numerical data
-
Radiosurgery / trends
-
Retrospective Studies
-
Secondary Prevention
-
Treatment Outcome