Surgical management of cerebral arteriovenous malformations with intraoperative digital subtraction angiography |
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| Institution: | 1. Department of Neurosurgery, Okanami General Hospital, Ueno;2. Department of Neurosurgery, Nara Medical University, Kashihara, Japan;1. Department of Child Neurology, Seirei-Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Hamamatsu, Shizuoka 430-8558, Japan;2. Laboratory of Neurophysiology, Seirei-Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Hamamatsu, Shizuoka 430-8558, Japan;3. Comprehensive Epilepsy Center, Seirei-Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Hamamatsu, Shizuoka 430-8558, Japan;1. Department of Medical Decision Making, Leiden University Medical Center, PO Box 9600, 2300RC Leiden, The Netherlands;2. Department of Neurosurgery, Leiden University Medical Center, PO Box 9600, 2300RC Leiden, The Netherlands;3. Department of Neurosurgery, Medical Center Haaglanden, PO Box 432, 2501 CK, The Hague, The Netherlands;1. Department of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People''s Republic of China;2. Medical Research Center of Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People''s Republic of China;3. Department of Radiation Oncology, University of Maryland Medical Center, Baltimore, USA;4. Department of Medicine, Westchester Medical Center and New York Medical College, New York, USA;5. Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Canada;6. Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People''s Republic of China;7. Guangdong Province Key Laboratory of Brain Function and Disease, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, People''s Republic of China;1. Department of Thoracic Surgery, Medical University Vienna, Vienna, Austria;2. Christian Doppler Laboratory for Cardiac and Thoracic Diagnosis and Regeneration, Vienna, Austria;3. Department of Anesthesia, General Intensive Care and Pain Management, Medical University of Vienna, Vienna, Austria;4. Department of Pulmonology, Landesklinikum Thermenregion Hochegg, Grimmenstein, Austria;5. Department of Cardiac Surgery, Institute of Cardiology, Medical- and Health Science Centre of University of Debrecen, Debrecen, Hungary;1. Liverpool Head & Neck Centre, Department of Molecular and Clinical Cancer Medicine, University of Liverpool Cancer Research Centre, University of Liverpool, United Kingdom;2. The Clatterbridge Cancer Centre NHS Foundation Trust, Bebington, United Kingdom;3. Head and Neck Unit, Liverpool University Hospital NHS Foundation Trust, Aintree University Hospital, United Kingdom;4. Institute of Systems, Molecular and Integrative Biology, Dept of Molecular & Clinical Cancer Medicine, University of Liverpool, United Kingdom;5. Technology Directorate, Computational Biology Facility, University of Liverpool, United Kingdom;6. Institute of Systems, Molecular and Integrative Biology, Biochemistry and Systems Biology, University of Liverpool, United Kingdom;7. Center for Molecular Medicine Cologne, Faculty of Medicine and Cologne University Hospital, University of Cologne, Germany |
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| Abstract: | Complete excision of cerebral arteriovenous malformations (AVMs) is requisite to improving the outcome of patients with AVMs. Five patients with a small or medium cerebral AVM underwent surgery with an intraoperative digital subtraction angiography (DSA) unit. There were no residual AVMs and no complications in the examination of intraoperative DSA. The findings of postoperative angiography were consistent with those of intraoperative DSA. Intraoperative DSA provided the benefits of not only identification of a feeding artery, but also recognition of the complete excision during surgery. |
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