Current Treatment Options for Cerebral Arteriovenous Malformations in Pregnancy: A Review of the Literature

• Published in: World neurosurgery Vol. 81; no. 1; pp. 83 - 90
• Main Authors: Agarwal, Nitin, Guerra, Jacqueline C, Gala, Nihar B, Agarwal, Prateek, Zouzias, Alexandros, Gandhi, Chirag D, Prestigiacomo, Charles J
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 2014
• Subjects: Adult; Arteriovenous malformation; Cerebral; Counseling; Embolization; Endovascular; Female; Humans; Intracranial Arteriovenous Malformations - diagnosis; Intracranial Arteriovenous Malformations - epidemiology; Intracranial Arteriovenous Malformations - physiopathology; Intracranial Arteriovenous Malformations - therapy; Microsurgery; Neurosurgery; Pregnancy; Pregnancy Complications, Cardiovascular - diagnosis; Pregnancy Complications, Cardiovascular - epidemiology; Pregnancy Complications, Cardiovascular - physiopathology; Pregnancy Complications, Cardiovascular - therapy; Radiosurgery; Risk; Rupture - epidemiology; Treatment; IPH; Endovascular; Radiosurgery; CO; Pregnancy; Treatment; Microsurgery; AVM; Embolization; Cerebral; Intraparenchymal hemorrhage; Cardiac output; Arteriovenous malformation
• ISSN: 1878-8750; 1878-8769
• DOI: 10.1016/j.wneu.2013.01.031

Background Cerebral arteriovenous malformations (AVMs), though relatively rare, have the propensity to cause potentially fatal conditions, such as intracranial hemorrhage. Methods Online databases were utilized to select and review references to convey recommended treatment options for cerebral AVMs in pregnancy. Results The presentation of a hemorrhage from an AVM in a pregnant woman warrants the initiation of treatments. Conclusion An individualized, multimodal therapeutic strategy should be employed for endovascular treatment, such as presurgical embolization.