Modern radiosurgical and endovascular classification schemes for brain arteriovenous malformations.

Department

Neurosurgery

Document Type

Article

Abstract

Stereotactic radiosurgery (SRS) and endovascular techniques are commonly used for treating brain arteriovenous malformations (bAVMs). They are usually used as ancillary techniques to microsurgery but may also be used as solitary treatment options. Careful patient selection requires a clear estimate of the treatment efficacy and complication rates for the individual patient. As such, classification schemes are an essential part of patient selection paradigm for each treatment modality. While the Spetzler-Martin grading system and its subsequent modifications are commonly used for microsurgical outcome prediction for bAVMs, the same system(s) may not be easily applicable to SRS and endovascular therapy. Several radiosurgical- and endovascular-based grading scales have been proposed for bAVMs. However, a comprehensive review of these systems including a discussion on their relative advantages and disadvantages is missing. This paper is dedicated to modern classification schemes designed for SRS and endovascular techniques.

Publication Date

2-1-2020

Publication Title

Neurosurgical review

ISSN

1437-2320

Volume

43

Issue

1

First Page

49

Last Page

58

PubMed ID

29728873

Digital Object Identifier (DOI)

10.1007/s10143-018-0983-8

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