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RT Journal Article
SR Electronic
T1 Embolization of Residual Fistula Following Stereotactic Radiosurgery in Cerebral Arteriovenous Malformations
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 109
OP 110
DO 10.3174/ajnr.A1240
VO 30
IS 1
A1 Hodgson, T.J.
A1 Kemeny, A.A.
A1 Gholkar, A.
A1 Deasy, N.
YR 2009
UL http://www.ajnr.org/content/30/1/109.abstract
AB 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.