By Mahmut Gazi Yasargil
AVM of the mind, scientific issues, basic and unique Operative thoughts, Surgical effects, Non-operated instances, Cavernous and Venous Angiomas, Neuro-anesthesia
Read or Download Microneurosurgery III-B: Avm of the Brain, Clinical Considerations, General and Special Operative Techniques, Surgical Results PDF
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Additional resources for Microneurosurgery III-B: Avm of the Brain, Clinical Considerations, General and Special Operative Techniques, Surgical Results
The described microsurgical removal of the AVMs enables the surgeon to work in a plane very close to the lesion and to avoid any damage to the surrounding normal tissue, but it could occasionally jmislead_ the surgeon into dissecting through the AVM possibly leaving small residual parts hidden somewhere in the normal tissue. 11a). This might have been avoided if intraoperative high quality angiography had been available. Laser Surgery Neither the CO2 nor the neodymium YAG laser have been used in AVM surgery in Zurich.
Staging of Operations and the Use of Hypotension series of cases. In 1978 the study group on microsurgical treatment of neurovascular disease (Fox, Albin and Malis) advocated the availability of intraoperative angiographic equipment, but cautioned that the intensification techniques usually available in the operating room were inadequate to produce high-quality films (Fox et al. 1978). This situation may change if a portable digital subtraction angiography unit which provides highquality images in the operating room (Foly et al.
Even so it is not always possible to possible. Excision of AVMs by lobectomy or by recognize the precise origins of the feeding vessels removal of entire polar regions simply to save or their exact distribution. This is particularly true time, to be "sure that the whole lesion has been for feeders originating from perforating ves-sels. removed", or to minimize the risk of rare theoretical Similarly the total extent of the venous drainage is complications should be opposed. As Symon (Davis not always clear on angiography, ajact that must and Symon 1985) has said "digging trenches in constantly be borne in mind while dissecting the normal tissue around the lesion should be avoided".