Treatment of Av-malformation of Brain
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Treatment of av-malformation of brain using platinum coils embolization (coiling)
17717.26
The Sana Hospital Duisburg is a maximum care medical center with 678 beds and 17 specialized departments. With the very latest innovations and high quality patient care, the clinic works for the benefit of a person and their health. The hospital ranks among the leading clinics in the region. In 2013, the hospital 
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According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
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The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
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Go to the program Treatment of av-malformation of brain using platinum coils embolization (coiling)
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According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
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According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and 
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According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
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According to the Focus magazine, the University Hospital Hamburg-Eppendorf is one of the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena, which it still holds today. A highly competent medical team of more than 15,300 employees takes care of the 
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
According to the prestigious Focus magazine, the University Hospital Halle (Saale) is one of the best medical institutions in Germany! The history of the hospital goes back more than 300 years, and during this time it has managed to gain an excellent reputation not only in Germany, but also throughout the world. The hospital pos
According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
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AV-malformation of the brain is an abnormal tangle of blood vessels that connects brain arteries and veins. Arteries are responsible for the transportation of oxygen-rich blood from heart to brain. Deprived from oxygen blood is carried back to lungs and heart by veins. In patients with AV-malformation process of blood interchange becomes disrupted. It means that blood with oxygen and blood without oxygen is mixed. AV-malformation can develop in any part of the body, but most often it is found in the brain and spine. Brain AV-malformation is very rare disease with 1% of world population having it.
Cause of brain malformation still remains unknown. It is a congenital disease, but it manifests when a person is in his adulthood. It is not transmitted genetically, which means that this disease appears absolutely randomly.
Sometimes brain malformation manifests itself during pregnancy, when a woman suddenly experiences severe headaches. Nevertheless, brain malformation is more common in men that in women. According to Brain Foundation.org, if the first symptom of this disease was hemorrhage, it can become fatal in 10%. That's why timely treatment is so important.
First symptoms of AV-malformation may appear at the age of 11-12. Symptoms gradually build up and become more and more severe over years. Patients with AV-malformation experience:
- Constant pain in one specific area of the head
- Some muscles become weak and can not function as before
- Body becomes numb
- Patient may lose vision partially or fully
- Coordination becomes unsteady and unbalanced
- The most common diagnostic method is brain scan (CT / MRI). It helps to obtain the microscopic image of the brain with smallest deviations from the norm. It can also detect if there`s an excessive amount of blood in the brain.
- Doctors may also use the cerebral angiography. During the procedure, a doctor injects an X-ray contrast agent into the patient’s bloodstream. The contrast fills the vessels and makes them clearly visible on the radiograph.
The most dangerous complication of brain malformation is the brain hemorrhage, that's why treatment of malformation mostly aims to prevent or stop bleeding and future seizures. Drugs in this case may only alleviate pain and reduce headaches frequency. That's why it's important to undergo surgery. There are such surgical options:
- Partial resection and coiling, when a doctor inserts catheter into hip vessel to pack coils into aneurysm. It is done to prevent blood flow from inundating aneurysm. A doctor tracks the catheter with the help of X-ray which shows its exact location. Coiling reduces size of the malformation and prevents further bleeding.
- Platinum coils embolization (coiling) is a more modern procedure, which also uses coils to hamper blood flow, but in this case doctor uses coils made of platinum.
- Resection of AVM. During the resection a surgeon makes an incision and opens a skull. After that he identifies the exact location of the damaged brain tissue and removes the malformation around it. If the malformation is located too deep, neurosurgeon simply can not reach it and in that case he can use other treatment options.
- Radiosurgery. During the radiosurgery the doctors use radiation to destroy the malformation. In this case the irradiation makes AVM shrink. If malformation is too big, it is impossible to make the cells vanish completely. The biggest disadvantage of radiosurgery is that the cells, which formed the malformation before, may gather again and create even a bigger problem. The most modern type of radiosurgery is Gamma Knife, which is less traumatic than surgery.
After treatment patients need to undergo regular check-ups and to maintain the healthy lifestyle. For instance, patients are advised to undergo course of physical therapy and to avoid any stressful situations. Patients also need to control blood pressure. If it is high, they are prescribed antihypertensive drugs.
Authors: Dr. Nadezhda Ivanisova, Dr. Farrukh Ahmed
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Cost of Av-malformation of brain treatment varies from 15902.21 to 61518.36
The best hospitals for Av-malformation of brain treatment are: Sana Hospital Duisburg, Charite University Hospital Berlin, University Hospital Freiburg
