1. Embolization of residual fistula following stereotactic radiosurgery in cerebral arteriovenous malformations
- Author
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A. Gholkar, T. J. Hodgson, A.A. Kemeny, and N. Deasy
- Subjects
Intracranial Arteriovenous Malformations ,Male ,medicine.medical_specialty ,Fistula ,medicine.medical_treatment ,Radiosurgery ,Young Adult ,Medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Embolization ,medicine.diagnostic_test ,Interventional ,business.industry ,Middle Aged ,medicine.disease ,Combined Modality Therapy ,Embolization, Therapeutic ,Cerebral arteriovenous malformations ,Treatment Outcome ,Angiography ,Arteriovenous Fistula ,Female ,Neurology (clinical) ,Radiology ,business - Abstract
SUMMARY: Treatment of brain arteriovenous malformations (BAVMs) often requires a multitechnique approach. We present 2 cases of BAVM, in which initial stereotactic radiosurgery (SRS) was successful in obliterating a significant volume of the nidus. At follow-up angiography, residual fistulas were identified and selectively embolized; this procedure cured the lesions. Many series describe initial embolization to reduce the nidal volume followed by SRS to the remnant. The described cases highlight the value of primary radiosurgery followed by selective fistula embolization.
- Published
- 2008