{"title":"单纯动脉畸形的手术治疗:单中心经验。","authors":"Weidong Xia, Xiangping Zhong, Zhongying Ran, Dacheng Ding, Meng Zhang, Xiaoguang Tong","doi":"10.1007/s10143-025-03619-6","DOIUrl":null,"url":null,"abstract":"<p><p>Pure arterial malformations (PAMs) are rare cerebrovascular conditions characterized by dilated, tortuous arteries with a coil-like appearance, without venous components. Traditionally considered benign, PAMs are typically conservatively managed. However, their detection has increased with advancements in noninvasive imaging, and concerns about progression have emerged, with cases of cerebral hemorrhage or infarction being reported, raising questions about their benign nature and optimal treatment. Over nine years, our center surgically treated seven patients with symptomatic PAM, finding that PAMs are not invariably benign, especially in patients with aneurysm or prior stroke. We suggest that proactive surgical intervention, including malformation isolation or resection, complemented by cerebral bypass for vascular reconstruction, should be the preferred strategy. We also underscore the need for tailored management based on individual risk factors.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"478"},"PeriodicalIF":2.5000,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Surgical treatment for symptomatic pure arterial malformations: a single-center experience.\",\"authors\":\"Weidong Xia, Xiangping Zhong, Zhongying Ran, Dacheng Ding, Meng Zhang, Xiaoguang Tong\",\"doi\":\"10.1007/s10143-025-03619-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Pure arterial malformations (PAMs) are rare cerebrovascular conditions characterized by dilated, tortuous arteries with a coil-like appearance, without venous components. Traditionally considered benign, PAMs are typically conservatively managed. However, their detection has increased with advancements in noninvasive imaging, and concerns about progression have emerged, with cases of cerebral hemorrhage or infarction being reported, raising questions about their benign nature and optimal treatment. Over nine years, our center surgically treated seven patients with symptomatic PAM, finding that PAMs are not invariably benign, especially in patients with aneurysm or prior stroke. We suggest that proactive surgical intervention, including malformation isolation or resection, complemented by cerebral bypass for vascular reconstruction, should be the preferred strategy. We also underscore the need for tailored management based on individual risk factors.</p>\",\"PeriodicalId\":19184,\"journal\":{\"name\":\"Neurosurgical Review\",\"volume\":\"48 1\",\"pages\":\"478\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-06-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurosurgical Review\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10143-025-03619-6\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurosurgical Review","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10143-025-03619-6","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Surgical treatment for symptomatic pure arterial malformations: a single-center experience.
Pure arterial malformations (PAMs) are rare cerebrovascular conditions characterized by dilated, tortuous arteries with a coil-like appearance, without venous components. Traditionally considered benign, PAMs are typically conservatively managed. However, their detection has increased with advancements in noninvasive imaging, and concerns about progression have emerged, with cases of cerebral hemorrhage or infarction being reported, raising questions about their benign nature and optimal treatment. Over nine years, our center surgically treated seven patients with symptomatic PAM, finding that PAMs are not invariably benign, especially in patients with aneurysm or prior stroke. We suggest that proactive surgical intervention, including malformation isolation or resection, complemented by cerebral bypass for vascular reconstruction, should be the preferred strategy. We also underscore the need for tailored management based on individual risk factors.
期刊介绍:
The goal of Neurosurgical Review is to provide a forum for comprehensive reviews on current issues in neurosurgery. Each issue contains up to three reviews, reflecting all important aspects of one topic (a disease or a surgical approach). Comments by a panel of experts within the same issue complete the topic. By providing comprehensive coverage of one topic per issue, Neurosurgical Review combines the topicality of professional journals with the indepth treatment of a monograph. Original papers of high quality are also welcome.