Combined surgical interventions in the combined arteriovenous malformations and arterial cerebral aneurysmas

Authors

  • O. A. Tsymeiko Romodanov Neurosurgery Institute, Kiev, Ukraine
  • A. I. Goncharov Romodanov Neurosurgery Institute, Kiev, Ukraine
  • M. Yu. Orlov Romodanov Neurosurgery Institute, Kiev, Ukraine
  • I. I. Skorokhoda Romodanov Neurosurgery Institute, Kiev, Ukraine

Keywords:

arteriovenous cerebral malformations, arterial aneurysms, microsurgical and endovascular surgery

Abstract

Detailed analysis of the combined surgical treatment results of the arteriovenous cerebral malformations (AVM) with arterial aneurysms (AA) was conducted. Depending on the features of the angioarchitecture, there were selected peripheral dependent AA, located along the course of the afferent AVM vessels, AA, located beyond the AVM supply pathways (“independent”) and AA, located in the immediate vicinity to the AVM. During 1997-2004 years 15 patients with sach combined pathology aged 14 to 43 years, were operated on. Location of 93% AVM and AA was supratentorial. 13 patients had single or multiple intracranial hemorrhages in the anamnesis and in 2 – had course epilepticus.

9 endovascular staged interventions in the AVM vessels were performed (total 24) and 6 – by microsurgical clipping, simultaneously AVM nidus extirpation had been performed as well.

The first stage of the surgery was performed by abolition of the intracerebral hematoma following by the clipping of the AA neck. In 4 cases because of increase of the aresorbtive hydrocephalus, the shunting interventions were conducted.

Obtained experience and practice of the combined surgical interventions in the combination of AVM and AA demonstrate the turth of the neighed differential approach to the treatment of vascular defects of such kind and necessity of the development of the corresponding tactical solutions.

 

References

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How to Cite

Tsymeiko, O. A., Goncharov, A. I., Orlov, M. Y., & Skorokhoda, I. I. Combined surgical interventions in the combined arteriovenous malformations and arterial cerebral aneurysmas. Ukrainian Neurosurgical Journal, (3), 66–70. Retrieved from https://theunj.org/article/view/144483

Issue

No. 3 (2004)

Section

Original articles

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Copyright (c) 2004 O. A. Tsymeiko, A. I. Goncharov, M. Yu. Orlov, I. I. Skorokhoda

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