title: Embolization of residual fistula following stereotactic radiosurgery in cerebral arteriovenous malformations.
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.
authors.affiliation: National Department of Stereotactic Radiosurgery/Department of Radiology, Royal Hallamshire Hospital, Sheffield, UK. tim.hodgson@sth.nhs.uk
authors.forename: T J
authors.initials: TJ
authors.lastname: Hodgson
authors.forename: A A
authors.initials: AA
authors.lastname: Kemeny
authors.forename: A
authors.initials: A
authors.lastname: Gholkar
authors.forename: N
authors.initials: N
authors.lastname: Deasy
mesh_terms: D001164:Arteriovenous Fistula / Q000628:therapy*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016634:Radiosurgery; D016896:Treatment Outcome; D055815:Young Adult