ABSTRACT

The treatment of complex intravascular disorders presents a great challenge to clinicians. Because they are relatively rare and because of their very nature, the successful obliteration of intracranial arteriovenous malformations (AVMs) can create a significant amount of risk for the patient. An integrated approach to the management of patients with AVMs by neurologists, neuroanesthesiologists, neuroradiologists, neurovascular surgeons, and neurological critical care physicians has substantially reduced, but by no means nullified, the risk of poor outcomes. As technology in all these fields continues to improve, increasing numbers of patients with highly complex AVMs are now considered treatable, whereas theywere not several decades ago.