Microsurgery for cerebral arteriovenous malformations: a dissection technique and its theoretical implications.

Abstract:

:Surgical resection of cerebral arteriovenous malformations is often complicated by persistent bleeding from the nidus, which is difficult to manage. It has often been mentioned that the difficulty of hemostasis is caused by the fragile and pathological nature of vessels of the nidus. This may be one reason, but I hypothesize that the dissection procedure, which involves coagulation of the surface of the nidus, may cause obstruction of intranidal drainage and that this may cause increased intranidal pressure, especially at the late stage of resection. In operating on patients with cerebral arteriovenous malformations recently, I made an effort not to coagulate the surface of the nidus, and this technique has diminished hemorrhage problems effectively. I illustrate this technique herein with a resected specimen and plastic casts of the lesion.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Hashimoto N

doi

10.1097/00006123-200106000-00018

keywords:

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

1278-81

issue

6

eissn

0148-396X

issn

1524-4040

journal_volume

48

pub_type

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