Embolization of residual fistula following stereotactic radiosurgery in cerebral arteriovenous malformations

AJNR Am J Neuroradiol. 2009 Jan;30(1):109-10. doi: 10.3174/ajnr.A1240. Epub 2008 Aug 7.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Arteriovenous Fistula / therapy*
  • Combined Modality Therapy
  • Embolization, Therapeutic
  • Female
  • Humans
  • Intracranial Arteriovenous Malformations / therapy*
  • Male
  • Middle Aged
  • Radiosurgery*
  • Treatment Outcome
  • Young Adult