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Instituto Nacional de Neurología y Neurocirugía

2006, Número 1

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Arch Neurocien 2006; 11 (1)


Técnica microquirúrgica para resección de malformaciones arteriovenosas

Nathal E

Idioma: Español
Referencias bibliográficas: 45
Paginas: 29-40
Archivo PDF: 208.08 Kb.


RESUMEN

Las malformaciones arteriovenosas (MAVs) cerebrales son la forma más reconocida dentro de las malformaciones vasculares debido a sus implicaciones clínicas y terapéuticas. Las MAVs presentan una heterogeneidad clínica y en su localización con ocurrencia a nivel cortical, subcortical, ventricular, cerebelosa, tallo cerebral, únicas o múltiples. El tratamiento quirúrgico de las mismas es un desafío técnico para los neurocirujanos. Las descripciones acerca de los abordajes para resecar una MAVs, descritas en numerosas publicaciones en la literatura internacional, por lo general adolecen de una sistematización que permita al neurocirujano en entrenamiento, entender y adoptar la técnica apropiada para llevar a cabo un tratamiento efectivo de las mismas. En este trabajo, se describe la técnica microquirúrgica paso a paso basada en la sistematización técnica através del acrónimo denominado “ACADEV”, con el fin de facilitar el entendimiento y la memorización de los pasos necesarios para efectuar una exéresis exitosa de una MAV. Adicionalmente, se hace énfasis en los recursos técnicos mínimos indispensables durante una operación y los puntos a los que se les debe prestar una especial atención.


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