Advances and Innovations in Brain Arteriovenous Malformation Surgery

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 revi...

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Published in	Neurosurgery Vol. 74; no. suppl_1; pp. S60 - S73
Main Authors	Bendok, Bernard R., El Tecle, Najib E., El Ahmadieh, Tarek Y., Koht, Antoun, Gallagher, Thomas A., Carroll, Timothy J., Markl, Michael, Sabbagha, Randa, Sabbagha, Asma, Cella, David, Nowinski, Cindy, Dewald, Julius P.A., Meade, Thomas J., Samson, Duke, Batjer, H. Hunt
Format	Journal Article
Language	English
Published	United States Oxford University Press 01.02.2014 Copyright by the Congress of Neurological Surgeons Wolters Kluwer Health, Inc
Subjects	Brain - pathology Brain - surgery Embolization, Therapeutic Humans Intracranial Arteriovenous Malformations - pathology Intracranial Arteriovenous Malformations - surgery Neurosurgery Neurosurgical Procedures Treatment Outcome AVM Microsurgery Surgical tools Surgical innovation Arteriovenous malformation Advanced imaging
Online Access	Get full text
ISSN	0148-396X 1524-4040 1524-4040
DOI	10.1227/NEU.0000000000000230

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Abstract	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.
AbstractList	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. 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.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. 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. 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. ABBREVIATIONS:AVM, arteriovenous malformationDSA, digital subtraction angiographyfMRI, functional magnetic resonance imaging
Author	Sabbagha, Asma Nowinski, Cindy Gallagher, Thomas A. Carroll, Timothy J. Meade, Thomas J. Koht, Antoun Sabbagha, Randa Dewald, Julius P.A. Batjer, H. Hunt El Tecle, Najib E. El Ahmadieh, Tarek Y. Markl, Michael Bendok, Bernard R. Samson, Duke Cella, David
AuthorAffiliation	Northwestern Memorial Hospital, Departments of Neurological Surgery, ‡Radiology, §Otolaryngology, and ¶Anesthesiology, Chicago, Illinois; ‖Northwestern University, McCormick School of Engineering, Department of Biomedical Engineering, Evanston, Illinois; Northwestern University, #Neuropsychology Institute, Department of Medical Social Sciences, ‡‡Department of Physical Therapy and Human Movement Sciences, and §§Department of Chemistry, Chicago, Illinois; ¶¶University of Texas Southwestern, Department of Neurological Surgery, Dallas, Texas
AuthorAffiliation_xml	– name: Northwestern Memorial Hospital, Departments of Neurological Surgery, ‡Radiology, §Otolaryngology, and ¶Anesthesiology, Chicago, Illinois; ‖Northwestern University, McCormick School of Engineering, Department of Biomedical Engineering, Evanston, Illinois; Northwestern University, #Neuropsychology Institute, Department of Medical Social Sciences, ‡‡Department of Physical Therapy and Human Movement Sciences, and §§Department of Chemistry, Chicago, Illinois; ¶¶University of Texas Southwestern, Department of Neurological Surgery, Dallas, Texas
Author_xml	– sequence: 1 givenname: Bernard R. surname: Bendok fullname: Bendok, Bernard R. email: bbendok@nmff.org organization: Northwestern Memorial Hospital, Department of Neurological Surgery – sequence: 2 givenname: Najib E. surname: El Tecle fullname: El Tecle, Najib E. organization: Northwestern Memorial Hospital, Department of Neurological Surgery – sequence: 3 givenname: Tarek Y. surname: El Ahmadieh fullname: El Ahmadieh, Tarek Y. organization: Northwestern Memorial Hospital, Department of Neurological Surgery – sequence: 4 givenname: Antoun surname: Koht fullname: Koht, Antoun organization: ¶Northwestern Memorial Hospital, Department of Anesthesiology, Chicago, Illinois – sequence: 5 givenname: Thomas A. surname: Gallagher fullname: Gallagher, Thomas A. organization: ‡Northwestern Memorial Hospital, Department of Radiology – sequence: 6 givenname: Timothy J. surname: Carroll fullname: Carroll, Timothy J. organization: ‡Northwestern Memorial Hospital, Department of Radiology – sequence: 7 givenname: Michael surname: Markl fullname: Markl, Michael organization: ‡Northwestern Memorial Hospital, Department of Radiology – sequence: 8 givenname: Randa surname: Sabbagha fullname: Sabbagha, Randa organization: #Northwestern Memorial Hospital, Department of Neuropsychology Institute – sequence: 9 givenname: Asma surname: Sabbagha fullname: Sabbagha, Asma organization: #Northwestern Memorial Hospital, Department of Neuropsychology Institute – sequence: 10 givenname: David surname: Cella fullname: Cella, David organization: Northwestern Memorial Hospital, Department of Medical Social Sciences – sequence: 11 givenname: Cindy surname: Nowinski fullname: Nowinski, Cindy organization: Northwestern Memorial Hospital, Department of Medical Social Sciences – sequence: 12 givenname: Julius P.A. surname: Dewald fullname: Dewald, Julius P.A. organization: Northwestern Memorial Hospital, Department of Neurological Surgery – sequence: 13 givenname: Thomas J. surname: Meade fullname: Meade, Thomas J. organization: §§Northwestern Memorial Hospital, Department of Chemistry, Chicago, Illinois – sequence: 14 givenname: Duke surname: Samson fullname: Samson, Duke organization: ¶¶Northwestern Memorial Hospital, Department of University of Texas Southwestern, Department of Neurological Surgery, Dallas, Texas – sequence: 15 givenname: H. Hunt surname: Batjer fullname: Batjer, H. Hunt organization: ¶¶Northwestern Memorial Hospital, Department of University of Texas Southwestern, Department of Neurological Surgery, Dallas, Texas
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/24402494$$D View this record in MEDLINE/PubMed
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Snippet	Abstract Arteriovenous malformations (AVMs) of the brain are very complex and intriguing pathologies. Since their initial description by Luschka and Virchow in... Arteriovenous malformations (AVMs) of the brain are very complex and intriguing pathologies. Since their initial description by Luschka and Virchow in the...
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SubjectTerms	Brain - pathology Brain - surgery Embolization, Therapeutic Humans Intracranial Arteriovenous Malformations - pathology Intracranial Arteriovenous Malformations - surgery Neurosurgery Neurosurgical Procedures Treatment Outcome
Title	Advances and Innovations in Brain Arteriovenous Malformation Surgery
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