Endovascular Treatment of Brain Arteriovenous Malformations in Siriraj Hospital

Authors

  • Anchalee Churojana Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Nasuda Suchato Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Pipat Chiewwit Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Orasa Chawalaparit Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Suthisak Suthipongchai Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700

Keywords:

Endovascular, Brain Arteriovenous Malformations

Abstract

Objective : To present our experience on endovascular embolization by using N-butyl cyanoacrylate and to demonstrate that this is an effective method in the treatment of brain arteriovenous malformations.
Materials and Methods : From 1992 to 1998, 92 patients with brain arteriovenous malformations who having had endovascular embolization as primary treatment was retrospectively reviewed.
Results : 8 patients (8.7%) had completely cure by embolization alone without neurological complication. 17 patients (18.5%) were cured after combined treatment, 9 with surgical removal and the other 8 with radiosurgery. The neurological complications occurred in 17 patients (18.5%) with 3 deaths and vegetative stage.
Conclusion : The endovascular embolization can cure the arteriovenous malformations that smaller than 3 cm, no matter what its location, and it is effective to reduce the nidus volume of the larger lisions, making them suitable for surgical resection or radiosurgery as to achieve the goal of complete eradication of the malformations.

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Published

27-08-2020

How to Cite

Churojana, A. ., Suchato, N. ., Chiewwit, P. ., Chawalaparit, O. ., & Suthipongchai, S. . (2020). Endovascular Treatment of Brain Arteriovenous Malformations in Siriraj Hospital. Siriraj Medical Journal, 52(1), 37–52. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/245735

Issue

Vol. 52 No. 1 (2000): January

Section

Original Article

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