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Comment & Response
September 10, 2014

Conservative Management vs Intervention for Unruptured Brain Arteriovenous Malformations

Author Affiliations
  • 1Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona
JAMA. 2014;312(10):1058. doi:10.1001/jama.2014.8751

To the Editor Dr Al-Shahi Salman and colleagues1 concluded that conservative management for bAVMs was superior to intervention for up to 12 years based on a prospective, population-based inception cohort study. The lack of detail regarding secondary outcomes, a high mortality rate in the conservatively managed group, and substandard interventions may undermine the authors’ conclusions.

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