뇌동정맥기형의 혈관내 치료와 관련된 합병증
Complications Related to Intravascular Treatment of Cerebral Arteriovenous Malformations
대한뇌혈관학회지 2002년 4권 2호 p.96 ~ 98
권양,
소속 상세정보
권양 ( Kwon Yang )
울산대학교 의과대학 서울아산병원 신경외과학교실
KMID : 0890520020040020096
Abstract
Endovascular embolization as sole therapy is curative only in a small percentage of cases, but is recommended as part of a multimodal approach to reduce the size of a large AVM, and decrease bleeding risk of lesions with multiple or inaccessible feeding vessels or associated aneurysms prior to surgery or radiotherapy. The result of endovascular treatment of a brain AVM in terms of the degree of obliteration achieved and complication rate depends mainly on the endovascular strategy developed and the technique applied. These depend on the specific angioarchitecture and topography of the individual AVM, on the past history and clinical presentation of the patient and on the predefined goal of embolization. The strategy should include the definition of embolization targets, the selection of the most appropriate approach for endovascular navigation, the determination of the sequence of catheterization of individual feeding arteries, the selection of the type of catheters and microcatheters, the selection of the appropriate embolic materials as well as the site and mode of their delivery.
키워드
뇌동정맥기형;혈관내 치료;합병증
Complications;Intravascular Treatment;Cerebral Arteriovenous
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