| Preoperative balloon occlusion of arteriovenous malformations. | |
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MedLine Citation:
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PMID: 3352879 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Many materials have been utilized to embolize cerebral arteriovenous malformations (AVMs) preoperatively. Specific vascular anatomy with large feeding vessels deep to the nidus or aneurysms within feeding arteries favor the use of detachable balloons over other embolic agents. Detachable balloons allow test occlusion of a vascular pedicle before permanent occlusion and can obliterate aneurysms in feeding arteries. We describe 36 feeder arterial balloon occlusions performed in 31 patients. Twenty-nine patients subsequently had surgical resection. None of the patients developed normal perfusion pressure breakthrough or required blood transfusions. The preoperative balloon occlusion was judged by the neurosurgeon to decrease significantly the difficulty in surgical resection of the malformation. The remaining 2 patients underwent embolization before radiosurgery. One patient had aneurysms in the feeding artery, which was balloon-occluded to diminish the risk of hemorrhage. There were two neurological deficits and three asymptomatic arterial dissections related to the balloon procedure. Balloon occlusion of feeding arterial pedicles in selected cerebral AVMs may be a valuable surgical adjunct. |
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Authors:
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V V Halbach; R T Higashida; P Yang; S Barnwell; C B Wilson; G B Hieshima |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 22 ISSN: 0148-396X ISO Abbreviation: Neurosurgery Publication Date: 1988 Feb |
Date Detail:
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Created Date: 1988-05-04 Completed Date: 1988-05-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 301-8 Citation Subset: IM |
Affiliation:
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Department of Radiology, University of California, San Francisco. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cerebral Angiography Child Embolization, Therapeutic / adverse effects, instrumentation, methods* Female Humans Intracranial Arteriovenous Malformations / radiography, surgery* Male Middle Aged Preoperative Care |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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