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Review
. 2021 Mar;39(1):151-162.
doi: 10.1016/j.anclin.2020.11.008. Epub 2021 Jan 9.

Anesthetic Management of Patients Undergoing Intravascular Treatment of Cerebral Aneurysms and Arteriovenous Malformations

Magnus Knut Teig  1
Affiliations
Review

Anesthetic Management of Patients Undergoing Intravascular Treatment of Cerebral Aneurysms and Arteriovenous Malformations

Magnus Knut Teig. Anesthesiol Clin. 2021 Mar.

Abstract

Arteriovenous malformation (AVM) rupture risk is a complex calculation, and the risks of rupture are influenced by the location and anatomy of the AVM, as well as any history of recurrence. Endovascular treatment of AVMs commonly includes embolization using a liquid embolizate of ethyl vinyl alcohol copolymer. The technique has been enhanced by the invention of detachable tip microcatheters. Embolization may be curative or may be used as part of multimodal therapy for AVMs to reduce their size before open or radiosurgery approaches. These therapies and the consideration necessary to plan for and effectively anesthetize patients undergoing them are discussed.

Keywords: Anesthesia; Intravascular therapy for cerebral aneurysm; Intravascular therapy for cerebral arteriovenous malformation.

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Conflict of interest statement

Declarations of interest The author M.K. Teig, hereby declare that he have no commercial or financial conflicts of interest, or funding sources in relation to this work.

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