The efficacy of surgical treatment of cerebral arteriovenous
malformations in a single academic institution: a case series

J 2021

The efficacy of surgical treatment of cerebral arteriovenous malformations in a single academic institution: a case series

SMRČKA, Martin, Ondřej NAVRÁTIL, Evžen HOVORKA and Kamil ĎURIŠ

Basic information

Original name

The efficacy of surgical treatment of cerebral arteriovenous malformations in a single academic institution: a case series

Authors

SMRČKA, Martin (203 Czech Republic, belonging to the institution), Ondřej NAVRÁTIL (203 Czech Republic, belonging to the institution), Evžen HOVORKA (203 Czech Republic, belonging to the institution) and Kamil ĎURIŠ (203 Czech Republic, guarantor, belonging to the institution)

Edition

CROATIAN MEDICAL JOURNAL, ZAGREB, MEDICINSKA NAKLADA, 2021, 0353-9504

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30218 General and internal medicine

Country of publisher

Croatia

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.415

RIV identification code

RIV/00216224:14110/21:00122735

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.3325/cmj.2021.62.353

UT WoS

000692690600007

Keywords in English

cerebral arteriovenous malformations; surgical treatment; academic institution

Abstract

V originále

Aim To report on patients who underwent surgical treatment of arteriovenous malformations (AVMs) at our institution. Methods This retrospective single-center case series enrolled the patients who underwent surgical treatment of pial AVM at the Department of Neurosurgery, University Hospital Brno, between 2005 and 2019. The data are summarized as descriptive statistics presenting basic characteristics in all the patients and in sex or age subgroups. Results Fifty patients were enrolled. The majority of AVMs were of Spetzler-Martin grade II (n = 27; 54%), localized supratentorialy (n = 43; 86%), and half of AVMs were ruptured. A total resection was performed in 48 patients (96%), and a good overall outcome was achieved in 44 patients (88%). Surgery-associated morbidity was 2%, and the mortality rate was 0% due to meticulous selection of patients for surgical treatment. Conclusion Microsurgery is an appropriate method of treatment for S-M grade I-III pial AVMs. Microsurgery may be used to treat the majority of small-nidus AVMs with a low mortality and morbidity, when precisely planned and performed by an expert vascular team. The meticulous selection of patients for surgical treatment is crucial.

Citovat

SMRČKA, Martin, Ondřej NAVRÁTIL, Evžen HOVORKA and Kamil ĎURIŠ. The efficacy of surgical treatment of cerebral arteriovenous malformations in a single academic institution: a case series. CROATIAN MEDICAL JOURNAL. ZAGREB: MEDICINSKA NAKLADA, 2021, vol. 62, No 4, p. 353-359. ISSN 0353-9504. Available from: https://dx.doi.org/10.3325/cmj.2021.62.353.

@article{1801100,
   author = {Smrčka, Martin and Navrátil, Ondřej and Hovorka, Evžen and Ďuriš, Kamil},
   article_location = {ZAGREB},
   article_number = {4},
   doi = {http://dx.doi.org/10.3325/cmj.2021.62.353},
   keywords = {cerebral arteriovenous malformations; surgical treatment; academic institution},
   language = {eng},
   issn = {0353-9504},
   journal = {CROATIAN MEDICAL JOURNAL},
   title = {The efficacy of surgical treatment of cerebral arteriovenous malformations in a single academic institution: a case series},
   url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8491051/},
   volume = {62},
   year = {2021}
}

TY  - JOUR
ID  - 1801100
AU  - Smrčka, Martin - Navrátil, Ondřej - Hovorka, Evžen - Ďuriš, Kamil
PY  - 2021
TI  - The efficacy of surgical treatment of cerebral arteriovenous malformations in a single academic institution: a case series
JF  - CROATIAN MEDICAL JOURNAL
VL  - 62
IS  - 4
SP  - 353-359
EP  - 353-359
PB  - MEDICINSKA NAKLADA
SN  - 03539504
KW  - cerebral arteriovenous malformations
KW  - surgical treatment
KW  - academic institution
UR  - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8491051/
N2  - Aim To report on patients who underwent surgical treatment of arteriovenous malformations (AVMs) at our institution. Methods This retrospective single-center case series enrolled the patients who underwent surgical treatment of pial AVM at the Department of Neurosurgery, University Hospital Brno, between 2005 and 2019. The data are summarized as descriptive statistics presenting basic characteristics in all the patients and in sex or age subgroups. Results Fifty patients were enrolled. The majority of AVMs were of Spetzler-Martin grade II (n = 27; 54%), localized supratentorialy (n = 43; 86%), and half of AVMs were ruptured. A total resection was performed in 48 patients (96%), and a good overall outcome was achieved in 44 patients (88%). Surgery-associated morbidity was 2%, and the mortality rate was 0% due to meticulous selection of patients for surgical treatment. Conclusion Microsurgery is an appropriate method of treatment for S-M grade I-III pial AVMs. Microsurgery may be used to treat the majority of small-nidus AVMs with a low mortality and morbidity, when precisely planned and performed by an expert vascular team. The meticulous selection of patients for surgical treatment is crucial.
ER  -

SMRČKA, Martin, Ondřej NAVRÁTIL, Evžen HOVORKA and Kamil ĎURIŠ. The efficacy of surgical treatment of cerebral arteriovenous malformations in a single academic institution: a case series. \textit{CROATIAN MEDICAL JOURNAL}. ZAGREB: MEDICINSKA NAKLADA, 2021, vol.~62, No~4, p.~353-359. ISSN~0353-9504. Available from: https://dx.doi.org/10.3325/cmj.2021.62.353.

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