脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
脳動静脈奇形治療における血管内手術の役割
根本 繁河本 俊介佐々木 富男高倉 公朋山田 直司岩佐 英明渡辺 英寿滝 和郎岩田 博夫高橋 明
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1993 年 21 巻 6 号 p. 443-447

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Thirty-two patients were treated with embolization of brain arteriovenous malformations (AVM's). Of these patients, 16 underwent surgical removal of AVM and 16 radiosurgery following embolization. Embolization caused neurological deficit in six patients (morbidity 18%) and fatal brain swelling in one (mortality 3%). Complication occurred in 6 out of 17 patients with AVM's in the eloquent area (35%) and 1 out of 15 with those in the non-eloquent areas (6%). Although embolization was a valuable procedure in the treatment of brain AVM's combined with surgery or radiosurgery, indication for embolization of AVM should be carefully decided with consideration of therapeutic risk, especially for lesions in the eloquent areas.
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