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Cerebral AVM Embolization

Endovascular treatment of brain AVM with embolic material

What is This Treatment?

A procedure in which liquid embolic agent (Onyx, NBCA) is injected through a catheter into the feeding arteries of a cerebral arteriovenous malformation (AVM) to occlude the nidus. Applied as standalone definitive treatment or for volume reduction before surgery/radiosurgery.

Benefits

  • Reduces surgical risk by shrinking the AVM nidus
  • Can be curative alone in selected cases
  • May reduce bleeding risk
  • Offers staged treatment in multiple sessions

Treatment Process

A microcatheter is advanced from the femoral artery to the AVM feeding arteries. The nidus is mapped with superselective angiography. Liquid embolic agent is injected in a controlled manner.

When is it used?

  • Definitive treatment of cerebral AVMs
  • Preoperative AVM volume reduction
  • Pre-radiosurgery AVM size reduction
  • Emergency embolization of bleeding AVMs

Recovery and planning

Post-procedure ICU monitoring, neurological assessment, and periodic angiographic follow-up are required.

Specialist review

Expert Consultation

Schedule an appointment to determine the most suitable treatment method for you.

The treatment plan is personalized after examination, imaging, and neurological assessment.

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References

Verified neurosurgery and spine surgery reference textbooks supporting the medical framework of this treatment.

  1. Greenberg MS. Greenberg’s Handbook of Neurosurgery. 10th ed. Thieme; 2023:1509.
  2. Winn HR, ed. Youmans Neurological Surgery. 6th ed. Saunders; 2011.
  3. Quiñones-Hinojosa A, ed. Schmidek and Sweet: Operative Neurosurgical Techniques: Indications, Methods and Results. 7th ed. Elsevier; 2021.

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Cerebral AVM Embolization | Dr. Özgür AKŞAN