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Stereotactic Radiosurgery With Versus Without Neoadjuvant Endovascular Embolization for Brain Arteriovenous Malformations With Associated Intracranial Aneurysms.

Andrea Becerril-GaitanJustin NguyenCheng-Chia LeeDale DingChristopher P CifarelliRoman LiscakBrian J WilliamsMehran B YusufShiao Y WooRonald E WarnickDaniel M TrifilettiDavid MathieuDouglas KondziolkaCaleb E FelicianoRafel Rodriguez-MercadoKevin M CockroftScott SimonJohn LeeJason P SheehanChing-Jen Chennull nullnull null
Published in: Neurosurgery (2024)
The likelihood of a favorable outcome and AVM obliteration after SRS with neoadjuvant embolization in AVMs with concomitant IA seems to be comparable with stand-alone SRS, even after adjusting for AVM volume and SRS maximum dose. However, the increased mortality among the stand-alone SRS group and relatively low risk of embolization-related complications suggest that these patients may benefit from a combined treatment approach.
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