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JOURNAL OF NEUROSURGICAL SCIENCES

Rivista di Neurochirurgia


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Journal of Neurosurgical Sciences 2018 Mar 26

DOI: 10.23736/S0390-5616.18.04425-9

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Embolization before stereotactic radiosurgery for the treatment of brain arteriovenous malformations

Aditya IYER , Marissa D’SOUZA, Gary K. STEINBERG

Department of Neurosurgery, Stanford University School of Medicine and Stanford Stroke Center, Stanford, CA, USA


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INTRODUCTION: Embolization is commonly used for the treatment of brain arteriovenous malformations (AVM) prior to stereotactic radiosurgery (SRS). Due to mixed outcomes, however, its use remains controversial. This article is a review of recent studies assessing the efficacy of pre-radiosurgical embolization for brain AVMs.
EVIDENCE ACQUISITION: Articles published between 1990 and 2017 on the subject of pre- radiosurgical AVM embolization were retrieved from PubMed.
EVIDENCE SYNTHESIS: A literature review was performed on the selected studies to compare obliteration, hemorrhage, and complication rates from groups treated with embolization prior to radiosurgery to those treated without embolization.
CONCLUSIONS: Overall, the studies reviewed demonstrate mixed results on the efficacy of pre-radiosurgical AVM embolization. For large, complex AVMs, embolization prior to radiosurgery may have a role in carefully selected patients performed by experienced practitioners.


KEY WORDS: Arteriovenous malformation - Embolization - Radiosurgery

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Publication History

Article first published online: March 26, 2018
Manuscript accepted: March 16, 2018
Manuscript received: March 10, 2018

Per citare questo articolo

Iyer A, Steinberg GK. Embolization before stereotactic radiosurgery for the treatment of brain arteriovenous malformations. J Neurosurg Sci 2018 Mar 26. DOI: 10.23736/S0390-5616.18.04425-9

Corresponding author e-mail

aiyer1@stanford.edu