{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:30:57Z","timestamp":1786123857711,"version":"build-2736575974"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T00:00:00Z","timestamp":1502841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/academic.oup.com\/journals\/pages\/about_us\/legal\/notices"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2018,7]]},"abstract":"Abstract<\/jats:title>\n \n BACKGROUND<\/jats:title>\n Although tubular retractor systems have gained popularity for other indications, there have been few reports of their use for arteriovenous malformation (AVM) surgery. A patient was diagnosed with a ruptured 1.2-cm subcortical AVM after presenting with intracerebral hemorrhage in the right frontal lobe and anterior basal ganglia. The characteristics of this AVM made it amenable to resection using a tubular retractor.<\/jats:p>\n <\/jats:sec>\n \n OBJECTIVE<\/jats:title>\n To demonstrate the feasibility and safety of AVM resection using a tubular retractor system.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n \n Resection of the ruptured 1.2-cm subcortical AVM was performed utilizing the BrainPath\n TM<\/jats:sup>\n (NICO corp, Indianapolis, Indiana) tubular retractor system.\n <\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n \n The BrainPath\n TM<\/jats:sup>\n approach provided sufficient visualization and surgical freedom to permit successful AVM resection and hematoma evacuation. Postoperative imaging demonstrated near total hematoma removal and angiographic obliteration of the AVM. There were no complications, and the patient made an excellent recovery.\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n Tubular retractors warrant consideration for accessing small, deep, ruptured AVMs. The nuances of such systems and their role in AVM surgery are discussed.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ons\/opx186","type":"journal-article","created":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T05:29:42Z","timestamp":1502861382000},"page":"32-38","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":13,"title":["BrainPath-Mediated Resection of a Ruptured Subcortical Arteriovenous Malformation"],"prefix":"10.1227","volume":"15","author":[{"given":"Alex M","family":"Witek","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio"},{"name":"Cerebrovascular Center, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina Z","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio"},{"name":"Cerebrovascular Center, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M Adeeb","family":"Sebai","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D","family":"Bain","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio"},{"name":"Cerebrovascular Center, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,7]]},"reference":[{"issue":"4","key":"bib1-20240909","doi-asserted-by":"crossref","first-page":"476","DOI":"10.3171\/jns.1986.65.4.0476","article-title":"A proposed grading system for arteriovenous malformations","volume":"65","author":"Spetzler","year":"1986","journal-title":"J Neurosurg"},{"issue":"4","key":"bib2-20240909","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1227\/01.NEU.0000367555.16733.E1","article-title":"A supplementary grading scale for selecting patients with brain arteriovenous malformations for surgery","volume":"66","author":"Lawton","year":"2010","journal-title":"Neurosurgery"},{"issue":"2","key":"bib3-20240909","doi-asserted-by":"crossref","first-page":"437","DOI":"10.3171\/2012.10.JNS121280","article-title":"Natural history of cerebral arteriovenous malformations: a meta-analysis","volume":"118","author":"Gross","year":"2013","journal-title":"J Neurosurg"},{"key":"bib4-20240909","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.wneu.2015.11.057","article-title":"Delayed hemorrhage following treatment of brain arteriovenous malformations (AVMs)","volume":"87","author":"Yang","year":"2015","journal-title":"World Neurosurg"},{"issue":"18","key":"bib5-20240909","doi-asserted-by":"crossref","first-page":"2011","DOI":"10.1001\/jama.2011.1632","article-title":"Treatment of brain arteriovenous malformations: a systematic review and meta-analysis","volume":"306","author":"van Beijnum","year":"2011","journal-title":"JAMA"},{"issue":"3","key":"bib6-20240909","doi-asserted-by":"crossref","first-page":"842","DOI":"10.3171\/2010.8.JNS10663","article-title":"A 3-tier classification of cerebral arteriovenous malformations","volume":"114","author":"Spetzler","year":"2011","journal-title":"J Neurosurg"},{"issue":"4","key":"bib7-20240909","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1227\/01.NEU.0000053220.02268.9C","article-title":"Spetzler-Martin Grade III arteriovenous malformations: surgical results and a modification of the grading scale","volume":"52","author":"Lawton","year":"2003","journal-title":"Neurosurgery"},{"issue":"2","key":"bib8-20240909","doi-asserted-by":"crossref","first-page":"301","DOI":"10.3171\/jns.1988.69.2.0301","article-title":"The stereotaxic retractor in computer-assisted stereotaxic microsurgery. 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