Expert Consensus on the Management of Brain Arteriovenous Malformations

Yoko Kato; Van He Dong; Feres Chaddad; Katsumi Takizawa; Tsuyoshi Izumo; Hitoshi Fukuda; Takayuki Hara; Kenichiro Kikuta; Yasunobu Nakai; Toshiki Endo; Hiroki Kurita; Bin Xu; Vladimír Beneš; Raftopoulos Christian; Giacomo Pavesi; Mojgan Hodaie; Rajan Kumar Sharma; Harshal Agarwal; Krishna Mohan; Boon Seng Liew

doi:10.4103/ajns.AJNS_234_19

Expert Consensus on the Management of Brain Arteriovenous Malformations

Asian J Neurosurg. 2019 Nov 25;14(4):1074-1081. doi: 10.4103/ajns.AJNS_234_19. eCollection 2019 Oct-Dec.

Authors

Yoko Kato¹, Van He Dong², Feres Chaddad³, Katsumi Takizawa⁴, Tsuyoshi Izumo⁵, Hitoshi Fukuda⁶, Takayuki Hara⁷, Kenichiro Kikuta⁸, Yasunobu Nakai⁹, Toshiki Endo¹⁰, Hiroki Kurita¹¹, Bin Xu¹², Vladimír Beneš¹³, Raftopoulos Christian¹⁴, Giacomo Pavesi¹⁵, Mojgan Hodaie¹⁶, Rajan Kumar Sharma¹⁷, Harshal Agarwal¹⁸, Krishna Mohan¹⁹, Boon Seng Liew²⁰

Affiliations

¹ Department of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Japan.
² Department of Neurosurgery, VietDuc University Hospital, Hoan Kiem, Hanoi, Vietnam.
³ Department of Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil.
⁴ Department of Neurosurgery, Japanese Red Cross Asahikawa Hospital, Asahikawa, Japan.
⁵ Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto, Nagasaki, Japan.
⁶ Department of Neurosurgery, Kochi University Hospital, Nankoku, Kochi, Japan.
⁷ Department of Neurosurgery, Toranomon Hospital, MinatoKu, Tokyo, Japan.
⁸ Department of Neurosurgery, University of Fukui, Fukui, Japan.
⁹ Department of Neurosurgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
¹⁰ Department of Neurosurgery, Graduate School of Medicine, Tohoku University, 1-1 Seiryo Aoba, Sendai, Japan.
¹¹ Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
¹² Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
¹³ Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University, Military University Hospital, Prague, Czech Republic.
¹⁴ Department of Neurosurgery, Cliniques Universitaires SaintLuc Bruxelles, Brussels, Belgium.
¹⁵ Department of Neurosurgery, Sant'Agostino Estense Hospital, Modena, Italy.
¹⁶ Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
¹⁷ Department of Neurosurgery, Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal.
¹⁸ Apollo Hospitals, Chennai, Tamil Nadu, India.
¹⁹ Department of Neurosurgery, SVIMS, Tirupathi, Andhra Pradesh, India.
²⁰ Department of Neurosurgery, Hospital Sungai Buloh, Selangor, Malaysia.

Abstract

Brain arteriovenous malformations (bAVMs) are complex, heterogeneous, and uncommon intracranial lesions. They can be treated by one or a combination of the following treatment modalities, namely embolization, radiosurgery, or microsurgical resection. In Spetzler-Martin Grade 4 and 5 arteriovenous malformations (AVMs), conservative management may be the best option. A group of experts in the management of AVMs of different disciplines gathered in January 2019 in Hanoi to compile the "Expert Consensus on the Management of Brain Arteriovenous Malformations".

Keywords: Brain arteriovenous malformation; expert consensus; management.

Publication types

Review