Surgery in Intracerebral Arteriovenous Malformations: The Role of Preoperative Embolization

dc.authoridErdoğan, Koral/0000-0002-5335-7172
dc.contributor.authorOzden, Mahmut
dc.contributor.authorErdogan, Koral
dc.contributor.authorBozkurt, Melih
dc.date.accessioned2024-09-11T19:53:21Z
dc.date.available2024-09-11T19:53:21Z
dc.date.issued2023
dc.departmentİstanbul Gelişim Üniversitesien_US
dc.description.abstractAIM: To examine the outcomes of microsurgery only versus combined microsurgery and embolization in treating cerebral arteriovenous malformations (AVM). MATERIAL and METHODS: A total of 62 patients (34 male and 28 female) with Spetzler-Martin grade 3 (n=44) and grade 4 (n=18) AVMs were examined. Thirty-seven patients were treated with a combination of microsurgery + embolization, whereas 25 patients were treated with microsurgery alone. The clinical characteristics of the treatment groups were compared (ruptured/unruptured, eloquent/non-eloquent, modified Rankin scores, duration of surgery, preoperative and postoperative hemoglobin levels, and use of blood products). RESULTS: The number of patients with ruptured or eloquently localized AVMs was more in combination of microsurgery + embolization. On the other hand, the duration, preoperative versus postoperative hemoglobin levels, and usage of blood products did not differ between treatment groups. CONCLUSION: The results of the study showed no superiority of the combined treatment in managing AVMs in parallel to recent meta-analyses. However, a patient-tailored approach is recommended while making the treatment decision for such challenging intracerebral AVM cases.en_US
dc.identifier.doi10.5137/1019-5149.JTN.44032-23.2
dc.identifier.endpage1085en_US
dc.identifier.issn1019-5149
dc.identifier.issue6en_US
dc.identifier.pmid37846537en_US
dc.identifier.scopus2-s2.0-85175047790en_US
dc.identifier.startpage1078en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.44032-23.2
dc.identifier.urihttps://hdl.handle.net/11363/8123
dc.identifier.volume33en_US
dc.identifier.wosWOS:001115397600019en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Socen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240903_Gen_US
dc.subjectArteriovenous malformationen_US
dc.subjectIntracerebralen_US
dc.subjectEmbolizationen_US
dc.subjectMicrosurgeryen_US
dc.titleSurgery in Intracerebral Arteriovenous Malformations: The Role of Preoperative Embolizationen_US
dc.typeArticleen_US

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