PT  - JOURNAL ARTICLE
AU  - T.J. Hodgson
AU  - A.A. Kemeny
AU  - A. Gholkar
AU  - N. Deasy
TI  - Embolization of Residual Fistula Following Stereotactic Radiosurgery in Cerebral Arteriovenous Malformations
AID  - 10.3174/ajnr.A1240
DP  - 2009 Jan 01
TA  - American Journal of Neuroradiology
PG  - 109--110
VI  - 30
IP  - 1
4099  - http://www.ajnr.org/content/30/1/109.short
4100  - http://www.ajnr.org/content/30/1/109.full
SO  - Am. J. Neuroradiol.2009 Jan 01; 30
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.