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American Association of Neurological Surgeons, Neurosurgical Focus, 1(53), p. E5, 2022

DOI: 10.3171/2022.4.focus21786



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Principles and strategies for step-by-step AVM excision

Journal article published in 2022 by Edoardo Agosti, Stephen Graepel, Giuseppe Lanzino
Distributing this paper is prohibited by the publisher
Distributing this paper is prohibited by the publisher

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Arteriovenous malformations (AVMs) are some of the most challenging surgical entities. Like any challenging surgical procedure, AVM surgery is a series of basic but fundamental steps, each with its own nuances. Despite a myriad of published material regarding AVMs, there are few succinct illustrated summaries of these steps with an accompanying elucidation of the most common pitfalls. This paper provides a step-by-step description and illustration of the basic surgical principles of AVM microsurgical resection, focusing on the main key points and addressing the critical issues that surround this surgery. Deep anatomical knowledge and presurgical planning of these basic steps, combined with good contingency management skills, are paramount for an effective and safe AVM surgery.