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AVM Resection

AVM Resection for Brain Surgery | Treatment for Brain Tumor

AVM Resection: A Modern Approach to Neurosurgical Care

An Arteriovenous Malformation (AVM) is a complex and often congenital tangle of blood vessels where arteries connect directly to veins without the normal capillary network in between. This high-pressure, abnormal blood flow can put the AVM at risk of rupturing and causing a life-threatening brain hemorrhage. While some AVMs may be monitored, many require definitive treatment to prevent this catastrophic event.

In Pune, India, Dr. Jaydev Panchwagh, a highly specialized neurosurgeon, offers advanced microsurgical resection for brain AVMs. His expertise in complex cerebrovascular conditions ensures a precise and strategic approach to a potentially life-saving procedure.

In Pune, India, Dr. Jaydev Panchwagh, a leading neurosurgeon with over two decades of dedicated experience, specializes in the intricate and delicate procedure of brain tumor resection. With a commitment to utilizing cutting-edge technology and a philosophy of preserving neurological function, he offers patients a path to not just survival, but a better quality of life.

AVM Resection: A Modern Approach to Neurosurgical Care

What is AVM Resection?

AVM resection is a surgical procedure to completely remove the arteriovenous malformation from the brain. It is considered the most definitive treatment for a brain AVM because it offers an immediate and permanent cure by physically removing the abnormal vessels, thereby eliminating the risk of rupture.

This procedure is typically recommended for AVMs that are located in surgically accessible areas and have a high risk of causing future problems, such as hemorrhage, seizures, or other neurological deficits. The decision for AVM resection is carefully made based on the AVM’s size, location, and the patient’s overall health, often using a standardized grading system like the Spetzler-Martin grade.

How Does It Work?

Microsurgical AVM resection is an intricate procedure that requires exceptional surgical skill and a comprehensive understanding of vascular neuroanatomy.

  1. Preoperative Embolization (Optional): In some cases, a less invasive procedure called embolization may be performed a few days before the surgery. An interventional neurosurgeon injects a glue-like substance into the AVM’s feeding arteries to reduce blood flow and make the subsequent surgical removal safer.
  2. Surgical Access and Planning: The procedure is performed under general anesthesia. A craniotomy (a temporary opening in the skull) is created to access the part of the brain containing the AVM. Dr. Panchwagh uses advanced neuro-navigation and intraoperative imaging to precisely plan the safest path to the AVM.
  3. Microsurgical Dissection: Using a high-power operating microscope, the surgeon meticulously identifies and seals off the arteries feeding the AVM one by one. The venous drainage is sealed off at the end, which is a critical step to prevent brain swelling.
  4. Complete Removal: Once the feeding arteries are secured, the surgeon carefully dissects the entire “nidus” (the central tangle of vessels) from the surrounding healthy brain tissue. The AVM is then removed in its entirety.
  5. Confirmation: Post-resection, the surgeon may perform a confirmatory check, such as an intraoperative angiography, to ensure the entire AVM has been completely removed and that normal blood flow is restored to the surrounding brain. The bone flap is then replaced and secured.

Why Choose Dr. Jaydev Panchwagh for AVM Resection?

AVM resection is one of the most challenging procedures in neurosurgery due to the high-flow nature of the vessels and the risk of hemorrhage. Dr. Jaydev Panchwagh in Pune, India, is a top choice for this procedure because of his:

  • Exceptional Experience in Vascular Neurosurgery: His specialized training and vast experience in treating complex vascular malformations of the brain are crucial for a successful outcome.
  • Mastery of Microsurgical Techniques: He uses a state-of-the-art operating microscope and delicate micro-instruments to navigate the intricate cerebral vasculature with unparalleled precision.
  • Patient Safety First: Dr. Panchwagh’s team emphasizes a comprehensive, multi-modal approach, often coordinating with interventional neuro-radiologists for pre-operative embolization to minimize surgical risk and blood loss.
  • Focus on a Complete Cure: While other options may exist, Dr. Panchwagh understands the importance of a definitive cure for AVMs and works to achieve complete removal, thereby eliminating the long-term risk of hemorrhage.

Frequently Asked Questions (FAQs) about AVM Resection

AVM resection is unique because it offers an immediate and permanent cure by physically removing the malformation. Other treatments, such as radiosurgery, take months to years to be effective, and endovascular embolization is often a temporary measure or used in conjunction with surgery.What is the recovery time after AVM resection?

The hospital stay for an uncomplicated AVM resection is typically a few days. Patients may experience fatigue, discomfort, and swelling. Full recovery can take a few weeks to several months, depending on the AVM’s location and the patient’s general health.

All brain surgeries carry a risk of complications, including neurological deficits. However, an experienced surgeon like Dr. Panchwagh uses advanced imaging and intraoperative monitoring to minimize these risks and protect healthy brain tissue. The risk of leaving an AVM untreated often outweighs the surgical risk.

Most certainly. An Interventional Neurologist or Neuroradiologist may be involved at several stages of the treatment, from diagnosis, planning, staging, and post-treatment.

AVM resection is a critical procedure that requires a neurosurgeon with a high level of skill and precision. Dr. Jaydev Panchwagh offers world-class expertise and a comprehensive approach to managing brain AVMs, ensuring you receive the safest and most effective treatment available.