Trans-venous embolization of a basal ganglia ruptured arteriovenous malformation with open surgical arterial control: A hybrid technique

J Neuroradiol. 2018 May;45(3):202-205. doi: 10.1016/j.neurad.2017.12.021. Epub 2018 Feb 2.

Abstract

Treatment of ruptured deep-seated arteriovenous malformations is challenging and associated with elevated risks. This is due to the proximity or involvement of critical brain structures and the specifically fine and delicate angioarchitecture of these lesions, making both endovascular and surgical access technically complicated. We present the advantages of a true combined, open surgical and endovascular transvenous approach in a hybrid operating room. The technique may overcome in part the difficulties and may improve safety and risk related concerns.

Keywords: Arteriovenous malformation; Embolization; Hybrid operation; Onyx; Transvenous embolization.

MeSH terms

  • Basal Ganglia Hemorrhage / diagnostic imaging
  • Basal Ganglia Hemorrhage / etiology*
  • Basal Ganglia Hemorrhage / therapy*
  • Cerebral Angiography
  • Embolization, Therapeutic / methods*
  • Endovascular Procedures / methods
  • Humans
  • Intracranial Arteriovenous Malformations / complications*
  • Intracranial Arteriovenous Malformations / diagnostic imaging
  • Treatment Outcome