Advances and innovations in brain arteriovenous malformation surgery

Bernard R. Bendok*, Najib E. El Tecle, Tarek Y. El Ahmadieh, Antoun Koht, Thomas A. Gallagher, Timothy J. Carroll, Michael Markl, Randa Sabbagha, Asma Sabbagha, David Cella, Cindy Nowinski, Julius P A Dewald, Thomas J. Meade, Duke Samson, H. Hunt Batjer

*Corresponding author for this work

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)S60-S73
JournalNeurosurgery
Volume74
Issue number2 SUPPL.
DOIs
StatePublished - Feb 1 2014

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Keywords

  • AVM
  • Advanced imaging
  • Arteriovenous malformation
  • Microsurgery
  • Surgical innovation
  • Surgical tools

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Bendok, B. R., El Tecle, N. E., El Ahmadieh, T. Y., Koht, A., Gallagher, T. A., Carroll, T. J., Markl, M., Sabbagha, R., Sabbagha, A., Cella, D., Nowinski, C., Dewald, J. P. A., Meade, T. J., Samson, D., & Batjer, H. H. (2014). Advances and innovations in brain arteriovenous malformation surgery. Neurosurgery, 74(2 SUPPL.), S60-S73. https://doi.org/10.1227/NEU.0000000000000230