Endovascular embolization combined surgical resection of 87 cases of cerebral arteriovenous malformation.docVIP
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Endovascular embolization combined surgical resection of 87 cases of cerebral arteriovenous malformation
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Endovascular embolization combined surgical resection of 87 cases of cerebral arteriovenous malformation
Authors: Zhao ZW, Gao Guodong, Qin HZ, LI Yong-lin, Zhao Jipei, CHEN Ling
[Keywords:] Cerebral arteriovenous malformation
Keywords: Cerebral arteriovenous malformations; Endovascular; surgery
Abstract: Objective To study the combined surgical resection Endovascular treatment of cerebral arteriovenous malformations. Methods 1999-03/2001-03 using combined surgical resection Endovascular treatment of cerebral arteriovenous malformations in 87 cases of .79 cases of spontaneous intracranial hemorrhage from disease, 4 cases of headache, 4 cases showed epilepsy. According to Spetzler-Martin scores can range, Ⅰ grade 9 cases, Ⅱ grade 11 cases, Ⅲ grade 12 cases, Ⅳ grade 43 cases, Ⅴ level in 12 cases. endovascular embolization agent for the NBCA, bolt after microsurgical resection. resulted in the adoption endovascular embolization, 57 patients reached more than 75% occlusion rate, accounting for 66%. AVM occlusion lesions in 50% to 75% in 22 cases, accounting for 25%, occlusion rate of less than 50% in 8 cases, accounting for 9%. bolt completely after surgical resection of lesions in 82 cases, accounting for 94% of total or subtotal resection in 5 cases, accounting for 6%. after three cases of left hemiplegia or aphasia, death 1 cases, postoperative complication rate was 4.6%. Conclusion Endovascular embolization combined surgical resection is the treatment of cerebral arteriovenous malformation of the effective methods, especially for large arteriovenous malformation, a high cure rate, morbidity and mortality low.
Endovascular embolization combined surgery for87patients with cerebral arteriovenous malformations
Abstract: AIM To discuss the effect of endovascular em-bolization combined surgery for cerebral arteriovenous mal-formations (AVM). METHODS From March1997to March2001, 87patients were treated by endovascular em-bolization
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