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Surgically related complications in AVM treatment, in many cases, can be avoided by paying attention to details:<\/jats:p><jats:p>1.\u2002Careful selection of the patient: - addressing a patient with eloquent AVM to Gamma Knife treatment - preoperative treatment with selective embolization of the accessible deep feeders - preoperative gamma knife or embolize those patient with an over-expressed venous pattern<\/jats:p><jats:p>2.\u2002Meticulous coagulation of deep medullary feeders: - Using dirty coagulation - Using dry non-stick coagulation - Using micro clips - Using laser - Reaching the choroidal vessel in the ventricle when possible - Avoiding occlusive coagulation with hemostatic agents<\/jats:p><jats:p>3.\u2002Check and avoiding any residual of the AVM<\/jats:p><jats:p>4.\u2002Keep the patient under pressure control during postoperative period<\/jats:p><jats:p>Fulfilling these steps contributes to reduce complications in this difficult surgery, leading to a safer treatment that compares favorably with natural history of brain arteriovenous malformations.<\/jats:p>","DOI":"10.1007\/978-3-030-63453-7_11","type":"book-chapter","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T18:11:31Z","timestamp":1622657491000},"page":"77-81","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Complications in AVM Surgery"],"prefix":"10.1007","author":[{"given":"Marco","family":"Cenzato","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davide","family":"Boeris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Piparo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessia","family":"Fratianni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Angela","family":"Piano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavia","family":"Dones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco M.","family":"Cris\u00e0","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"D\u2019Aliberti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,11]]},"reference":[{"key":"11_CR1","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1016\/j.wneu.2015.12.053","volume":"92","author":"LJ Wang","year":"2016","unstructured":"Wang LJ, Lin FX, Zhao B, Wu J, Cao Y, Wang S (2016) Testing the reliability of BOLD-fMRI motor mapping in patients with cerebral arteriovenous malformations by electric cortical stimulation and surgery outcomes. 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