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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention
Open Access

Complications of Endovascular Treatments for Brain Arteriovenous Malformations: A Nationwide Surveillance

K. Sato, Y. Matsumoto, T. Tominaga, T. Satow, K. Iihara and N. Sakai for the Japanese Registry of Neuroendovascular Therapy Investigators
American Journal of Neuroradiology April 2020, 41 (4) 669-675; DOI: https://doi.org/10.3174/ajnr.A6470
K. Sato
aFrom the Department of Neuroendovascular Therapy (K.S., Y.M.), Kohnan Hospital, Sendai, Japan
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Y. Matsumoto
aFrom the Department of Neuroendovascular Therapy (K.S., Y.M.), Kohnan Hospital, Sendai, Japan
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T. Tominaga
bDepartment of Neurosurgery (T.T.), Tohoku Graduate School of Medicine, Sendai, Japan
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T. Satow
cDepartment of Neurosurgery (T.S.), National Cerebral and Cardiovascular Center, Suita, Japan
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K. Iihara
dDepartment of Neurosurgery (K.I.), Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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N. Sakai
eDepartment of Neurosurgery (N.S.), Kobe City Medical Center General Hospital, Kobe, Japan.
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References

  1. 1.↵
    1. Fleetwood IG,
    2. Steinberg GK
    . Arteriovenous malformations. Lancet 2002;359:863–73 doi:10.1016/S0140-6736(02)07946-1 pmid:11897302
    CrossRefPubMedWeb of Science
  2. 2.↵
    Arteriovenous Malformation Study Group. Arteriovenous malformations of the brain in adults. N Engl J Med 1999;340:1812–18 doi:10.1056/NEJM199906103402307 pmid:10362826
    CrossRefPubMedWeb of Science
  3. 3.↵
    1. Brown RD Jr.,
    2. Wiebers DO,
    3. Forbes G, et al
    . The natural history of unruptured intracranial arteriovenous malformations. J Neurosurg 1988;68:352–57 doi:10.3171/jns.1988.68.3.0352 pmid:3343606
    CrossRefPubMedWeb of Science
  4. 4.↵
    1. Mast H,
    2. Young WL,
    3. Koennecke HC, et al
    . Risk of spontaneous haemorrhage after diagnosis of cerebral arteriovenous malformation. Lancet 1997;350:1065–68 doi:10.1016/s0140-6736(97)05390-7 pmid:10213548
    CrossRefPubMedWeb of Science
  5. 5.↵
    1. Ondra SL,
    2. Troupp H,
    3. George ED, et al
    . The natural history of symptomatic arteriovenous malformations of the brain: a 24-year follow-up assessment. J Neurosurg 1990;73:387–91 doi:10.3171/jns.1990.73.3.0387 pmid:2384776
    CrossRefPubMedWeb of Science
  6. 6.↵
    1. Gross BA,
    2. Du R
    . Natural history of cerebral arteriovenous malformations: a meta-analysis. J Neurosurg 2013;118:437–43 doi:10.3171/2012.10.JNS121280 pmid:23198804
    CrossRefPubMedWeb of Science
  7. 7.↵
    1. Darsaut TH,
    2. Guzman R,
    3. Marcellus ML, et al
    . Management of pediatric intracranial arteriovenous malformations: experience with multimodality therapy. Neurosurgery 2011;69:540–56 doi:10.1227/NEU.0b013e3182181c00 pmid:21430584
    CrossRefPubMed
  8. 8.↵
    1. Ogilvy CS,
    2. Stieg PE,
    3. Awad I, et al
    ; Special Writing Group of the Stroke Council, American Stroke Association. AHA Scientific Statement: recommendations for the management of intracranial arteriovenous malformations—a statement for healthcare professionals from a special writing group of the Stroke Council, American Stroke Association. Stroke 2001;32:1458–71 doi:10.1161/01.str.32.6.1458 pmid:11387517
    FREE Full Text
  9. 9.↵
    1. Alexander MD,
    2. Hippe DS,
    3. Cooke DL, et al
    . Targeted embolization of aneurysms associated with brain arteriovenous malformations at high risk for surgical resection: a case-control study. Neurosurgery 2018;82:343–49 doi:10.1093/neuros/nyx167 pmid:28419337
    CrossRefPubMed
  10. 10.↵
    1. Potts MB,
    2. Zumofen DW,
    3. Raz E, et al
    . Curing arteriovenous malformations using embolization. Neurosurg Focus 2014;37:E19 doi:10.3171/2014.6.FOCUS14228 pmid:25175438
    CrossRefPubMed
  11. 11.↵
    1. van Rooij WJ,
    2. Jacobs S,
    3. Sluzewski M, et al
    . Curative embolization of brain arteriovenous malformations with Onyx: patient selection, embolization technique, and results. AJNR Am J Neuroradiol 2012;33:1299–304 doi:10.3174/ajnr.A2947 pmid:22383233
    Abstract/FREE Full Text
  12. 12.↵
    1. Valavanis A,
    2. Yaşargil MG
    . The endovascular treatment of brain arteriovenous malformations. Adv Tech Stand Neurosurg 1998;24:131–214 doi:10.1007/978-3-7091-6504-1_4 pmid:10050213
    CrossRefPubMed
  13. 13.↵
    1. Sakai N,
    2. Yoshimura S,
    3. Taki W, et al
    ; Japanese Registry of Neuroendovascular Therapy Investigators. Recent trends in neuroendovascular therapy in Japan: analysis of a nationwide survey: Japanese Registry of Neuroendovascular Therapy (JR-NET) 1 and 2. Neurol Med Chir (Tokyo) 2014;54:1–8 doi:10.2176/nmc.oa.2013-0197 pmid:24390188
    CrossRefPubMed
  14. 14.↵
    1. Kondo R,
    2. Matsumoto Y,
    3. Endo H, et al
    . Endovascular embolization of cerebral arteriovenous malformations: results of the Japanese Registry of Neuroendovascular Therapy (JR-NET) 1 and 2. Neurol Med Chir (Tokyo) 2014;54:54–62 doi:10.2176/nmc.oa2013-0183
    CrossRef
  15. 15.↵
    1. Spetzler RF,
    2. Martin NA
    . A proposed grading system for arteriovenous malformations. J Neurosurg 1986;65:476–83 doi:10.3171/jns.1986.65.4.0476 pmid:3760956
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Baharvahdat H,
    2. Blanc R,
    3. Termechi R, et al
    . Hemorrhagic complications after endovascular treatment of cerebral arteriovenous malformations. AJNR Am J Neuroradiol 2014;35:978–83 doi:10.3174/ajnr.A3906 pmid:24676002
    Abstract/FREE Full Text
  17. 17.↵
    1. Cronqvist M,
    2. Wirestam R,
    3. Ramgren B, et al
    . Endovascular treatment of intracerebral arteriovenous malformations: procedural safety, complications, and results evaluated by MR imaging, including diffusion and perfusion imaging. AJNR Am J Neuroradiol 2006;27:162–76 pmid:16418378
    Abstract/FREE Full Text
  18. 18.↵
    1. Ovalle F,
    2. Shay SD,
    3. Mericle RA
    . Delayed intracerebral hemorrhage after uneventful embolization of brain arteriovenous malformations is related to volume of embolic agent administered: multivariate analysis of 13 predictive factors. Neurosurgery 2012;70:313–20 doi:10.1227/NEU.0b013e3182357df3 pmid:21904259
    CrossRefPubMed
  19. 19.↵
    1. Pan J,
    2. He H,
    3. Feng L, et al
    . Angioarchitectural characteristics associated with complications of embolization in supratentorial brain arteriovenous malformation. AJNR Am J Neuroradiol 2014;35:354–59 doi:10.3174/ajnr.A3643 pmid:23886744
    Abstract/FREE Full Text
  20. 20.↵
    1. Panagiotopoulos V,
    2. Gizewski E,
    3. Asgari S, et al
    . Embolization of intracranial arteriovenous malformations with ethylene-vinyl alcohol copolymer (Onyx). AJNR Am J Neuroradiol 2009;30:99–106 doi:10.3174/ajnr.A1314 pmid:18842759
    Abstract/FREE Full Text
  21. 21.↵
    1. Saatci I,
    2. Geyik S,
    3. Yavuz K, et al
    . Endovascular treatment of brain arteriovenous malformations with prolonged intranidal Onyx injection technique: long-term results in 350 consecutive patients with complete endovascular treatment course. J Neurosurg 2011;115:78–88 doi:10.3171/2011.2.JNS09830 pmid:21476804
    CrossRefPubMedWeb of Science
  22. 22.↵
    1. Starke RM,
    2. Komotar RJ,
    3. Otten ML, et al
    . Adjuvant embolization with N-butyl cyanoacrylate in the treatment of cerebral arteriovenous malformations: outcomes, complications, and predictors of neurologic deficits. Stroke 2009;40:2783–90 doi:10.1161/STROKEAHA.108.539775 pmid:19478232
    Abstract/FREE Full Text
  23. 23.↵
    1. Crowley RW,
    2. Ducruet AF,
    3. McDougall CG, et al
    . Endovascular advances for brain arteriovenous malformations. Neurosurgery 2014;74:S74–82 doi:10.1227/NEU.0000000000000176 pmid:24402496
    CrossRefPubMedWeb of Science
  24. 24.↵
    1. Van Beijnum J,
    2. van der Worp HB,
    3. Buis DR, et al
    . Treatment of brain arteriovenous malformations: a systematic review and meta-analysis. JAMA 2011;306:2011–19 doi:10.1001/jama.2011.1632 pmid:22068993
    CrossRefPubMedWeb of Science
  25. 25.↵
    1. Bell DL,
    2. Leslie-Mazwi TM,
    3. Yoo AJ, et al
    . Application of a novel brain arteriovenous malformation endovascular grading scale for transarterial embolization. AJNR Am J Neuroradiol 2015;36:1303–09 doi:10.3174/ajnr.A4286 pmid:25857761
    Abstract/FREE Full Text
  26. 26.↵
    1. Kim LJ,
    2. Albuquerque FC,
    3. Spetzler RF, et al
    . Postembolization neurological deficits in cerebral arteriovenous malformations: stratification by arteriovenous malformation grade. Neurosurgery 2006;58:53–59; discussion 53–59 doi:10.1227/01.NEU.0000219219.97287.91 pmid:16823300
    CrossRefPubMed
  27. 27.↵
    1. Hartmann A,
    2. Pile-Spellman J,
    3. Stapf C, et al
    . Risk of endovascular treatment of brain arteriovenous malformations. Stroke 2002;33:1816–20 doi:10.1161/01.str.0000020123.80940.b2 pmid:12105359
    Abstract/FREE Full Text
  28. 28.↵
    1. Heidenreich JO,
    2. Hartlieb S,
    3. Stendel R, et al
    . Bleeding complications after endovascular therapy of cerebral arteriovenous malformations. AJNR Am J Neuroradiol 2006;27:313–16 pmid:16484399
    Abstract/FREE Full Text
  29. 29.↵
    1. Xu F,
    2. Zhong J,
    3. Ray A, et al
    . Stereotactic radiosurgery with and without embolization for intracranial arteriovenous malformations: a systematic review and meta-analysis. Neurosurg Focus 2014;37:E16 doi:10.3171/2014.6.FOCUS14178 pmid:25175435
    CrossRefPubMed
  30. 30.↵
    1. Abla AA,
    2. Nelson J,
    3. Rutledge WC, et al
    . The natural history of AVM hemorrhage in the posterior fossa: comparison of hematoma volumes and neurological outcomes in patients with ruptured infra- and supratentorial AVMs. Neurosurg Focus 2014;37:E6 doi:10.3171/2014.7.FOCUS14211 pmid:25175444
    CrossRefPubMed
  31. 31.↵
    1. Arnaout OM,
    2. Gross BA,
    3. Eddleman CS, et al
    . Posterior fossa arteriovenous malformations. Neurosurg Focus 2009;26:E12 doi:10.3171/2009.2.FOCUS0914 pmid:19408990
    CrossRefPubMed
  32. 32.↵
    1. Kouznetsov E,
    2. Weill A,
    3. Ghostine JS, et al
    . Association between posterior fossa arteriovenous malformations and prenidal aneurysm rupture: potential impact on management. Neurosurg Focus 2014;37:E4 doi:10.3171/2014.6.FOCUS14219 pmid:25175442
    CrossRefPubMed
  33. 33.
    1. Westphal M,
    2. Grzyska U
    . Clinical significance of pedicle aneurysms on feeding vessels, especially those located in infratentorial arteriovenous malformations. J Neurosurg 2000;92:995–1001 doi:10.3171/jns.2000.92.6.0995 pmid:10839261
    CrossRefPubMedWeb of Science
  34. 34.↵
    1. Schmidt NO,
    2. Reitz M,
    3. Raimund F, et al
    . Clinical relevance of associated aneurysms with arteriovenous malformations of the posterior fossa. Acta Neurochir Suppl 2011;112:131–35 doi:10.1007/978-3-7091-0661-7_23 pmid:21692001
    CrossRefPubMed
  35. 35.↵
    1. da Costa L,
    2. Thines L,
    3. Dehdashti AR, et al
    . Management and clinical outcome of posterior fossa arteriovenous malformations: report on a single-centre 15-year experience. J Neurol Neurosurg Psychiatry 2009;80:376–79 doi:10.1136/jnnp.2008.152710 pmid:19028763
    Abstract/FREE Full Text
  36. 36.↵
    1. Fults D,
    2. Kelly DL Jr..
    Natural history of arteriovenous malformations of the brain: a clinical study. Neurosurgery 1984;15:658–62 doi:10.1227/00006123-198411000-00003 pmid:6504280
    CrossRefPubMedWeb of Science
  37. 37.↵
    1. Rodríguez-Hernández A,
    2. Kim H,
    3. Pourmohamad T, et al
    ; University of California, San Francisco Arteriovenous Malformation Study Project. Cerebellar arteriovenous malformations: anatomic subtypes, surgical results, and increased predictive accuracy of the supplementary grading system. Neurosurgery 2012;71:1111–24 doi:10.1227/NEU.0b013e318271c081 pmid:22986595
    CrossRefPubMed
  38. 38.↵
    1. Han SJ,
    2. Englot DJ,
    3. Kim H, et al
    . Brainstem arteriovenous malformations: anatomical subtypes, assessment of “occlusion in situ” technique, and microsurgical results. J Neurosurg 2015;122:107–17 doi:10.3171/2014.8.JNS1483 pmid:25343188
    CrossRefPubMed
  39. 39.↵
    1. Bowden G,
    2. Kano H,
    3. Tonetti D, et al
    . Stereotactic radiosurgery for arteriovenous malformations of the cerebellum. J Neurosurg 2014;120:583–90 doi:10.3171/2013.9.JNS131022 pmid:24160482
    CrossRefPubMed
  40. 40.↵
    1. Koga T,
    2. Shin M,
    3. Terahara A, et al
    . Outcomes of radiosurgery for brainstem arteriovenous malformations. Neurosurgery 2011;69:45–51 doi:10.1227/NEU.0b013e31821421d1 pmid:21368695
    CrossRefPubMed
  41. 41.↵
    1. Kelly ME,
    2. Guzman R,
    3. Sinclair J, et al
    . Multimodality treatment of posterior fossa arteriovenous malformations. J Neurosurg 2008;108:1152–61 doi:10.3171/JNS/2008/108/6/1152 pmid:18518720
    CrossRefPubMedWeb of Science
  42. 42.↵
    1. Mendes GA,
    2. Kalani MY,
    3. Iosif C, et al
    . Transvenous curative embolization of cerebral arteriovenous malformations: a prospective cohort study. Neurosurgery 2018;83:957–64 doi:10.1093/neuros/nyx581 pmid:29281075
    CrossRefPubMed
  43. 43.↵
    1. Spiotta AM,
    2. James RF,
    3. Lowe SR, et al
    . Balloon-augmented Onyx embolization of cerebral arteriovenous malformations using a dual-lumen balloon: a multicenter experience. J Neurointerv Surg 2015;7:721–27 doi:10.1136/neurintsurg-2014-011285 pmid:25118193
    Abstract/FREE Full Text
  44. 44.↵
    1. Flores BC,
    2. See AP,
    3. Weiner GM, et al
    . Use of Apollo detachable-tip microcatheter for endovascular embolization of arteriovenous malformations and arteriovenous fistulas. J Neurosurg 2018;130:963–71 doi:10.3171/2017.9.JNS17397 pmid:29570006
    CrossRefPubMed
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K. Sato, Y. Matsumoto, T. Tominaga, T. Satow, K. Iihara, N. Sakai
Complications of Endovascular Treatments for Brain Arteriovenous Malformations: A Nationwide Surveillance
American Journal of Neuroradiology Apr 2020, 41 (4) 669-675; DOI: 10.3174/ajnr.A6470

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Complications of Endovascular Treatments for Brain Arteriovenous Malformations: A Nationwide Surveillance
K. Sato, Y. Matsumoto, T. Tominaga, T. Satow, K. Iihara, N. Sakai
American Journal of Neuroradiology Apr 2020, 41 (4) 669-675; DOI: 10.3174/ajnr.A6470
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