Hello - I have been doing extensive research for my AVM condition, what I have learned there are basically 3 treatment options for AVMs:
1. Observation - the doctors watch you for any clinical signs to make sure the condition does not get worse.
2. Surgery - surgical resection via craniotomy.
3. Radiation Treatment - Gamma Knife, Cyber Knife, etc
Missing from the above list is Embolization, which I have read both pros and cons against, and I am interested in community feedback to confirm my understanding.
The gist of it is this - Embolization is used to stop bleeds or hemorrhages, and has been effective for these purposes, however the risk is that by having an Embolization performed there is the possibility that it will put increased pressure on other blood vessels in the brain. These vessels are not used to the new pressure, so Embolization can potentially increase the risk for a bleed or hemorrhage.
Additionally, I have learned that Embolization is only a stop gap measure, and it inevitably still leads down the same road to surgery as the eventual outcome.
I am still learning about AVMs, I know some cannot be treated surgically so the Embolization process is the best option, but it my case I have a small AVM and I am trying to decide whether going through surgery with the associated risks that brings is the best course of treatment for my condition.
If you could have an AVM treated both surgically or via Embolization, which option would you choose?