Aziz Waseem
Tawam Hospital, UAE
Title: Multi-modality management of complex brain arteriovenous malformations
Biography
Biography: Aziz Waseem
Abstract
Aim: To report our experience in the treatment of complex brain arteriovenous malformations.
Patients & Methods: From November 2010 to August 2017, 22 patients with brain arteriovenous malformations were treated endovascularly. They were 9 men and 13 women with a mean age of 32 years. A total of 34 endovascular procedures were performed with Onyx or Squid embolic agent.
Results: The course of endovascular treatment was completed in 18 patients. In 8 patients, an angiographic cure was achieved using embolization as the sole therapeutic technique. 6 patients underwent radiosurgical treatment after nidal size reduction <2 cm was accomplished by endovascular treatment. Four cases underwent surgery after embolization. Further endovascular treatment was planned in four patients, procedure-related transient neurologic deficits were observed in one patient, experienced mild transient hemiparesis resolved soon after treatment. There were no procedure related permanent morbidity or deaths.
Conclusion: Liquid embolic material allows obtaining higher rates of anatomic cures compared with those obtained previously with other embolic agents in the treatment of brain arteriovenous malformations.