立体定向放射治疗脑动静脉畸形后残余瘘的栓塞治疗
Embolization of residual fistula following stereotactic radiosurgery in cerebral arteriovenous malformations.
作者信息
Hodgson T J, Kemeny A A, Gholkar A, Deasy N
机构信息
National Department of Stereotactic Radiosurgery/Department of Radiology, Royal Hallamshire Hospital, Sheffield, UK.
出版信息
AJNR Am J Neuroradiol. 2009 Jan;30(1):109-10. doi: 10.3174/ajnr.A1240. Epub 2008 Aug 7.
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.
摘要
脑动静脉畸形（BAVMs）的治疗通常需要采用多种技术方法。我们报告2例BAVMs，其中初始立体定向放射外科治疗（SRS）成功消除了大量的畸形血管团。在随访血管造影时，发现了残留瘘并进行了选择性栓塞；该操作治愈了病变。许多系列报道了先进行初始栓塞以减少畸形血管团体积，然后对残余部分进行SRS。所描述的病例突出了原发性放射外科治疗后进行选择性瘘栓塞的价值。
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