| Surgical management of large AVM's by staged embolization and operative excision. | |
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MedLine Citation:
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PMID: 3598668 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A series of 20 patients with giant arteriovenous malformations (AVM's) managed with staged embolization and surgical resection is presented. Complete excision was accomplished in 18 of these patients. There were no deaths and only three complications, of which one was disabling. Further evidence for the presence of low perfusion surrounding the AVM, emphasizing the risk of normal perfusion pressure breakthrough, is provided by cortical perfusion pressure, cortical cerebral blood flow (CBF), and stable xenon computerized tomography CBF measurements. The staged approach to giant AVM management is a proposed method to render AVM's that were previously considered inoperable or marginally operable into totally excisable lesions, while maintaining an acceptable level of morbidity and mortality. |
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Authors:
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R F Spetzler; N A Martin; L P Carter; R A Flom; P A Raudzens; E Wilkinson |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 67 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 1987 Jul |
Date Detail:
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Created Date: 1987-07-24 Completed Date: 1987-07-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 17-28 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Blood Pressure Bucrylate / therapeutic use Cerebrovascular Circulation Embolization, Therapeutic* / methods Female Humans Intracranial Arteriovenous Malformations / physiopathology, radiography, surgery*, therapy Male Middle Aged |
| Chemical | |
Reg. No./Substance:
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1069-55-2/Bucrylate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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