Embolization of Residual Fistula Following Stereotactic Radiosurgery in Cerebral Arteriovenous Malformations

被引:15
作者
Hodgson, T. J. [1 ]
Kemeny, A. A. [1 ]
Gholkar, A. [2 ]
Deasy, N. [3 ]
机构
[1] Royal Hallamshire Hosp, Natl Dept Stereotact Radiosurg, Dept Radiol, Sheffield S10 2JF, S Yorkshire, England
[2] Newcastle Gen Hosp, Dept Neuroradiol, Newcastle Upon Tyne NE4 6BE, Tyne & Wear, England
[3] Kings Coll Hosp London, Dept Neuroradiol, London, England
关键词
MANAGEMENT;
D O I
10.3174/ajnr.A1240
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:109 / 110
页数:2
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