Combined endovascular embolization of large intracranial arteriovenous malformations and their subsequent surgical resection

Chin Med J (Engl). 1993 Nov;106(11):851-6.


Twelve patients with large arteriovenous malformations (AVMs) were subjected to endovascular embolization followed by surgery. Of the 12 patients, 9 were males and 3 females. Their age ranged from 11 to 37 years. Eleven AVM nidi were more than 6 cm in diameter and one AVM, located in a crucial brain area, was 4 cm in diameter. More than 70% of the AVM masses were excised in 11 of the patients, while under 50% was excised in the remaining patient. Complete excisions of the lesions were achieved in all 12 patients 7-10 days after endovascular embolization. No new major neurological deficits occurred. The results showed that the cerebral AVMs can be effectively operated on after endovascular embolization.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Embolization, Therapeutic / methods*
  • Female
  • Humans
  • Intracranial Arteriovenous Malformations / surgery
  • Intracranial Arteriovenous Malformations / therapy*
  • Male