Endovascular-Vascular Course for Residents-Arteriovenous Malformations

Video Transcription

Video Summary

The speaker begins by discussing arteriovenous malformations (AVMs) and the need for creative thinking in their treatment. They emphasize the importance of considering the venous side of AVMs, as venous stenoses can affect natural history and treatment planning. The speaker also dispels some myths about AVMs, such as the belief that they don't cause much harm when they bleed. They argue that AVMs can lead to disability and death, and emphasize the need for accurate estimation of disability rates and mortality. The speaker also discusses the evolution of AVMs and the importance of understanding their natural history before considering treatment options. They explain various grading scales used to assess AVMs, and the need for precision medicine in treatment planning. The speaker goes on to discuss the different treatment options available, including embolization, radiosurgery, and microsurgery. They provide examples of how these treatments can be used, such as embolizing to reduce AVM volume for surgery or securing a proximal aneurysm. The speaker also emphasizes the importance of having a plan in place for treatment and the need to be educated about the different tools and techniques available. They conclude by discussing a case of awake microsurgery for an AVM and highlighting the benefits of this approach in certain cases. No credits were mentioned.

Asset Subtitle

Bernard R. Bendok, MD, FAANS

Keywords

arteriovenous malformations

venous side

natural history

treatment options

precision medicine

embolization

microsurgery