Surgical Versus Conservative Treatment of Intracranial Arteriovenous Malformations

A Study in Surgical Decision-Making

Nonfiction, Health & Well Being, Medical, Surgery, Neurosurgery
Cover of the book Surgical Versus Conservative Treatment of Intracranial Arteriovenous Malformations by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten, Springer Vienna
View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart
Author: L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten ISBN: 9783709185674
Publisher: Springer Vienna Publication: December 6, 2012
Imprint: Springer Language: English
Author: L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
ISBN: 9783709185674
Publisher: Springer Vienna
Publication: December 6, 2012
Imprint: Springer
Language: English

The main aim of this study is to define the clinical criteria which must be considered in order to come to an adequate decision whether a patient with intracranial arteriovenous malformation (AVM) should be operated upon or treated conservatively. A special method was used to reduce the effects of selection. This method made it possible to evaluate the therapeutic efficacy of conservative treatment versus surgery. The method implies that patients with equal combinations of variables (risk profiles) were compared in the two treatment lines. The variables building up the risk-profile pattern were chosen by analysing the decision process, as it was originally practiced by the surgeon who selected and treated the patients of this study. The risk profiles thus described relevant characteristics of the patient and his malformation. The variables were assigned numerical values accord­ ing to their prognostic value. Summation of the variables making up the risk profile then gives each risk profile a certain value. A low value symbolizes a bad prognosis and a high value a good prognosis in both treatment groups. There were many risk profiles with the same value in both groups and a comparison could be made over a large part of the risk-profile scale. This comparison showed that surgical treatment of A VM can always be justified, although the indications for surgery are less strong in patients with low risk­ profile values.

View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart

The main aim of this study is to define the clinical criteria which must be considered in order to come to an adequate decision whether a patient with intracranial arteriovenous malformation (AVM) should be operated upon or treated conservatively. A special method was used to reduce the effects of selection. This method made it possible to evaluate the therapeutic efficacy of conservative treatment versus surgery. The method implies that patients with equal combinations of variables (risk profiles) were compared in the two treatment lines. The variables building up the risk-profile pattern were chosen by analysing the decision process, as it was originally practiced by the surgeon who selected and treated the patients of this study. The risk profiles thus described relevant characteristics of the patient and his malformation. The variables were assigned numerical values accord­ ing to their prognostic value. Summation of the variables making up the risk profile then gives each risk profile a certain value. A low value symbolizes a bad prognosis and a high value a good prognosis in both treatment groups. There were many risk profiles with the same value in both groups and a comparison could be made over a large part of the risk-profile scale. This comparison showed that surgical treatment of A VM can always be justified, although the indications for surgery are less strong in patients with low risk­ profile values.

More books from Springer Vienna

Cover of the book New Solutions for the Heart by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Personality and Neurosurgery by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book The Non-Equilibrium Green's Function Method for Nanoscale Device Simulation by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Geistige Fitness erhalten – das AKTIVA-Programm by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Peripheral Nerve Block by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Novel Technologies for Vaccine Development by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Evidence and Rational Based Research on Chinese Drugs by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Neglected Tropical Diseases - Middle East and North Africa by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Molecular Parasitology by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Current Update in Psychoimmunology by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Cerebral Visual Impairment in Children by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book New Aspects for Treatment with Fosfomycin by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Sensory Neuropathies by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Lasers in Neurosurgery by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
Cover of the book Cell and Animal Models in Aging and Dementia Research by L. Pellettieri, G. Norlen, C. Uhlemann, C.-A. Carlsson, S. Grevsten
We use our own "cookies" and third party cookies to improve services and to see statistical information. By using this website, you agree to our Privacy Policy