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European consensus conference on unruptured brain AVMs treatment (Supported by EANS, ESMINT, EGKS, and SINCH).

  • Cenzato M Neurosurgery, Grande Ospedale Metropolitano Niguarda, Milan, Italy. marco.cenzato@ospedaleniguarda.it.
  • Boccardi E Neuroradiology, Metropolitan Hospital Niguarda, Milan, Italy.
  • Beghi E Neurology, Methodologist, IRCCS Istituto Mario Negri, Milan, Italy.
  • Vajkoczy P Neurosurgery, Charitè Universitatetsmedizin, Berlin, Germany.
  • Szikora I Neuroradiology, National Institute of NeuroScience, Budapest, Hungary.
  • Motti E Radiosurgery, Ospedale Villa Maria di Cotignola, Ravenna, Italy.
  • Regli L Neurosurgery, UniversitaetsSpital, Zurich, Switzerland.
  • Raabe A Neurosurgery, Inselspital, Bern, Switzerland.
  • Eliava S Neurosurgery, Burdenko Hospital, Moscow, Russia.
  • Gruber A Neurosurgery and Neuroradiology, University Hospital, Lintz, Austria.
  • Meling TR Neurosurgery, National Hospital, Oslo, Norway.
  • Niemela M Neurosurgery, University Hospital, Helsinki, Finland.
  • Pasqualin A Neurosurgery, Ospedale Maggiore Civile, Verona, Italy.
  • Golanov A Radiosurgery, Burdenko Hospital, Moscow, Russia.
  • Karlsson B Radiosurgery, Singapore Gamma Knife Center, Singapore, Singapore.
  • Kemeny A Radiosurgery, Thornbury Radiosurgery Centre, Sheffield, UK.
  • Liscak R Radiosurgery, Na Homolce Hospital, Prague, Czech Republic.
  • Lippitz B Radiosurgery, Bupa Cromwell Hospital, London, UK.
  • Radatz M Radiosurgery, Royal Hallamshire Hospital, Sheffield, UK.
  • La Camera A Radiosurgery, Grande Ospedale Metropolitano Niguarda, Milan, Italy.
  • Chapot R Neuroradiology, Krupp Hospital, Hessen, Germany.
  • Islak C Neuroradiology, Cerrahpaşa Medical Faculty, İstanbul University, Istanbul, Turkey.
  • Spelle L Neuroradiology, Bicetre University Hospital, Paris, France.
  • Debernardi A Neurosurgery, Grande Ospedale Metropolitano Niguarda, Milan, Italy.
  • Agostoni E Neurology, Grande Ospedale Metropolitano Niguarda, Milan, Italy.
  • Revay M Neurosurgery, Grande Ospedale Metropolitano Niguarda, Milan, Italy.
  • Morgan MK Neurosurgery, Macquaire University, Sydney, Australia.
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  • 2017-04-09
Published in:
  • Acta neurochirurgica. - 2017
ARUBA
Arteriovenous malformation
Consensus Conference
EANS
EGKS
ESMINT
Unruptured brain AVM
Congresses as Topic
Consensus
European Union
Humans
Intracranial Arteriovenous Malformations
Neurosurgical Procedures
Practice Guidelines as Topic
Randomized Controlled Trials as Topic
Registries
English In December of 2016, a Consensus Conference on unruptured AVM treatment, involving 24 members of the three European societies dealing with the treatment of cerebral AVMs (EANS, ESMINT, and EGKS) was held in Milan, Italy. The panel made the following statements and general recommendations: (1) Brain arteriovenous malformation (AVM) is a complex disease associated with potentially severe natural history; (2) The results of a randomized trial (ARUBA) cannot be applied equally for all unruptured brain arteriovenous malformation (uBAVM) and for all treatment modalities; (3) Considering the multiple treatment modalities available, patients with uBAVMs should be evaluated by an interdisciplinary neurovascular team consisting of neurosurgeons, neurointerventionalists, radiosurgeons, and neurologists experienced in the diagnosis and treatment of brain AVM; (4) Balancing the risk of hemorrhage and the associated restrictions of everyday activities related to untreated unruptured AVMs against the risk of treatment, there are sufficient indications to treat unruptured AVMs grade 1 and 2 (Spetzler-Martin); (5) There may be indications for treating patients with higher grades, based on a case-to-case consensus decision of the experienced team; (6) If treatment is indicated, the primary strategy should be defined by the multidisciplinary team prior to the beginning of the treatment and should aim at complete eradication of the uBAVM; (7) After having considered the pros and cons of a randomized trial vs. a registry, the panel proposed a prospective European Multidisciplinary Registry.
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  • English
Open access status
green
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https://folia.unifr.ch/global/documents/173289
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