Advances and Innovations in Brain Arteriovenous Malformation Surgery
Advances and Innovations in Brain Arteriovenous Malformation Surgery
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DOI：
10.1227/neu.0000000000000230
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发表时间：
2014-02-01
期刊：
影响因子：
4.8
通讯作者：
Batjer, H. Hunt
中科院分区：
文献类型：
--
作者：
Bendok, Bernard R.;El Tecle, Najib E.;Batjer, H. Hunt
脑动静脉畸形（AVM）是非常复杂和有趣的病理。自从Luschka和Virchow在世纪中期首次描述以来，多种进步和创新已经彻底改变了其管理和手术治疗。在这里，我们回顾了AVM手术治疗的历史里程碑，然后说明了旨在改善AVM手术结局的最新和未来技术。特别是，我们研究了患者选择，成像，手术技术，神经麻醉，术后神经康复和定量评估的潜在进展。最后，我们说明了放射外科和血管内技术的同步进步如何从手术角度更安全地治疗AVM。
Arteriovenous malformations (AVMs) of the brain are very complex and intriguing pathologies. Since their initial description by Luschka and Virchow in the middle of the 19th century, multiple advances and innovations have revolutionized their management and surgical treatment. Here, we review the historical landmarks in the surgical treatment of AVMs and then illustrate the most recent and futuristic technologies aiming to improve outcomes in AVM surgeries. In particular, we examine potential advances in patient selection, imaging, surgical technique, neuroanesthesia, and postoperative neuro-rehabilitation and quantitative assessments. Finally, we illustrate how concurrent advances in radiosurgery and endovascular techniques might present new opportunities to treat AVMs more safely from a surgical perspective.