Gamma Knife Radiosurgery for Brain Vascular Malformations

Description

Clinical outcomes of brain vascular malformation have been greatly improved by advances in microsurgery, endovascular techniques and stereotactic radiosurgery. Radiosurgery has proven to be the least invasive technique and is associated with documented long-term success. The papers in this volume present the experience of leading brain vascular malformation specialists who describe the outcome of radiosurgery for arteriovenous malformations, cavernous malformations and dural arteriovenous fistulas. These reviews expand the knowledge of the role of stereotactic radiosurgery alone or in combination with other treatment modalities. Evidence-based guidelines are included in each section to provide a summary of the current management strategies. This unique publication includes additional data that will further define the long-term benefit and risks of radiosurgery for these often complex vascular disorders and makes valuable reading for neurosurgeons, neurologists and endovascular specialists interested in an excellent summary of more than 30 years of accumulated experience in the management of brain vascular malformations.

Informations

• Publié par: S. Karger AG
• Date de parution: 12 décembre 2012
• Nombre de lectures: 0
• EAN13: 9783805596206
• Langue: English
• Poids de l'ouvrage: 4 Mo

Extrait

Gamma Knife Radiosurgery for Brain Vascular Malformations
Progress in Neurological Surgery
Vol. 27
Series Editor
L. Dade Lunsford Pittsburgh, Pa.
 
Gamma Knife Radiosurgery for Brain Vascular Malformations
Volume Editors
Ajay Niranjan Pittsburgh, Pa.
Hideyuki Kano Pittsburgh, Pa.
L. Dade Lunsford Pittsburgh, Pa.
60 figures, 25 in color, and 28 tables, 2013
___________________________
Ajay Niranjan, MCh, MBA Hideyuki Kano, MD, PhD L. Dade Lunsford, MD, FACS Department of Radiosurgery UPMC Brain Mapping Center 200 Lothrop Street Pittsburgh, PA 15213 (USA)
Library of Congress Cataloging-in-Publication Data
Gamma knife radiosurgery for brain vascular malformations/volume editors, Ajay Niranjan, Hideyuki Kano, L. Dade Lunsford.
p.; cm. –– (Progress in neurological surgery, ISSN 0079-6492 ; v. 27)
Includes bibliographical references and indexes.
ISBN 978-3-8055-9619-0 (hard cover: alk. paper) –– ISBN 978-3-8055-9620-6 (electronic version)
I. Niranjan, Ajay. II. Kano, Hideyuki. III. Lunsford, L. Dade. IV. Series: Progress in neurological surgery; v. 27., 0079-6492
[DNLM: 1. Central Nervous System Vascular Malformations––surgery. 2. Radiosurgery––methods. W1 PR673 v. 27 2013/WL 350]

617.4'81059––dc23
2012040349
Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents ® and Index Medicus.
Disclaimer. The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publisher and the editor(s). The appearance of advertisements in the book is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Drug Dosage. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
© Copyright 2013 by S. Karger AG, P.O. Box, CH-4009 Basel (Switzerland)
www.karger.com
Printed in Germany on acid-free and non-aging paper (ISO 9706) by Kraft Druck, Ettlingen
ISSN 0079-6492
e-ISSN 1662-3924
ISBN 978-3-8055-9619-0
e-ISBN 978-3-8055-9620-6
 
Contents
Series Editor's Note
Lunsford, L.D. (Pittsburgh, Pa.)
A Brief History of Arteriovenous Malformation Radiosurgery
Niranjan, A.; Lunsford, L.D. (Pittsburgh, Pa.)
Natural History of Cerebral Arteriovenous Malformations and the Risk of Hemorrhage after Radiosurgery
Yen, C.-P.; Schlesinger, D.; Sheehan, J.P. (Charlottesville, Va.)
The Technical Evolution of Gamma Knife Radiosurgery for Arteriovenous Malformations
Lunsford, L.D.; Niranjan, A.; Kano, H.; Kondziolka, D. (Pittsburgh, Pa.)
Targeting and Conformality in Arteriovenous Malformation Radiosurgery
Paddick, I. (London/Sheffield/Tilburg); Motti, E. (Milano/Ravenna)
Dose Selection in Stereotactic Radiosurgery
Flickinger, J.C.; Kano, H.; Niranjan, A.; Kondziolka, D.; Lunsford, L.D. (Pittsburgh, Pa.)
Development and Testing of a Radiosurgery-Based Arteriovenous Malformation Grading System
Pollock, B.E. (Rochester, Minn.)
Radiosurgery for Brainstem Arteriovenous Malformation
Maruyama, K.; Koga,T. (Tokyo); Niranjan, A.; Kondziolka, D.; Flickinger, J.C.; Lunsford, L.D. (Pittsburgh, Pa.)
Multistaged Volumetric Management of Large Arteriovenous Malformations
Kano, H.; Kondziolka, D.; Flickinger, J.C.; Park, K.-J.; Parry, P.V.; Yang, H.; Sirin, S.; Niranjan, A.; Novotny, J., Jr.; Lunsford, L.D. (Pittsburgh, Pa.)
Endovascular Embolization in Combination with Radiosurgery for Treatment of Arteriovenous Malformations
Miller, R.A.; Jankowitz, B. (Pittsburgh, Pa.)
Stereotactic Radiosurgery after Embolization for Arteriovenous Malformations
Kano, H.; Kondziolka, D.; Flickinger, J.C.; Park, K.-J.; Iyer, A. (Pittsburgh, Pa.); Yang, H. (Pittsburgh, Pa./Taipei); Liu, X. (Pittsburgh, Pa./Tianjin); Monaco, E.A., III; Niranjan, A.; Lunsford, L.D. (Pittsburgh, Pa.)
Long-Term Side Effects of Radiosurgery for Arteriovenous Malformations
Yamamoto, M.; Kawabe,T.; Barfod, B.E. (Ibaraki)
Management of Adverse Radiation Effects after Radiosurgery for Arteriovenous Malformations
Monaco, E.A., III; Niranjan, A.; Kano, H.; Flickinger, J.C.; Kondziolka, D.; Lunsford, L.D. (Pittsburgh, Pa.)
Morphological Observations in Brain Arteriovenous Malformations after Gamma Knife Radiosurgery
Szeifert, G.T. (Budapest); Levivier, M.; Lorenzoni, J. (Brussels); Nyáry, I.; Major, O. (Budapest); Kemeny, A.A. (Sheffield)
Stereotactic Radiosurgery Guideline for the Management of Patients with Intracranial Arteriovenous Malformations
Niranjan, A.; Lunsford, L.D. (Pittsburgh, Pa.)
Cavernous Malformations and Hemorrhage Risk
Kondziolka, D.; Monaco, E.A., III; Lunsford, L.D. (Pittsburgh, Pa.)
Radiosurgery of Brain Cavernomas - Long-Term Results
Liscak, R. (Prague)
Radiosurgical Treatment for Epilepsy Associated with Cavernomas
Lévêque, M.; Carron, R.; Bartolomei, F.; Régis, J. (Marseille)
Stereotactic Radiosurgery Guidelines for the Management of Patients with Intracranial Cavernous Malformations
Niranjan, A.; Lunsford, L.D. (Pittsburgh, Pa.)
Intracranial Dural Arteriovenous Fistulas: Natural History and Rationale for Treatment with Stereotactic Radiosurgery
Pan, D.H.-C.; Wu, H.-M. (Taipei); Kuo,Y.-H. (Taipei/Albany, N.Y.); Chung, W.-Y.; Lee, C.-C.; Guo,W.-Y. (Taipei)
Stereotactic Radiosurgery with or without Embolization for Intracranial Dural Arteriovenous Fistulas
Yang, H. (Pittsburgh, Pa./Taipei); Kano, H.; Kondziolka, D.; Niranjan, A.; Flickinger, J.C.; Horowitz, M.B.; Lunsford, L.D. (Pittsburgh, Pa.)
Dural Arteriovenous Fistulas and the Role of Gamma Knife Stereotactic Radiosurgery:The Stockholm Experience
Söderman, M.; Dodoo, E. (Stockholm); Karlsson, B. (Singapore)
Stereotactic Radiosurgery Guidelines for the Management of Patients with Intracranial Dural Arteriovenous Fistulas
Niranjan, A.; Lunsford, L.D. (Pittsburgh, Pa.)
Author Index
Subject Index
 
Series Editor's Note
In the 40 years since radiosurgery was introduced as an option for the management of vascular malformations, an enormous volume of clinical outcome research has substantiated its role in properly selected patients. Across the world, various technologies are available to perform radiosurgery. The unifying feature of each technology is its ability to conformally deliver a high dose of radiation to a small intracranial volume with precision and selectivity (rapid fall-off of the dose in adjacent normal structures). The Gamma Knife ® represents the technology most commonly used and is currently a tool available at more than 300 medical centers.
At our own center, we have recently completed a long-term analysis of almost 1,000 patients who had Gamma Knife radiosurgery for arteriovenous malformations (AVMs) during a 20-year interval. Like other centers, many of whom are represented by reports in this volume, the role of radiosurgery expanded to include carefully selected cavernous malformations and dural vascular malformations. I believe that the current volume of Progress in Neurological Surgery will provide additional data that will further define the long-term benefit and risks of radiosurgery for these often complex vascular disorders.
I hope that you will enjoy reading the work of the superb international group of individuals who work with the Gamma Knife in the management of AVMs.
L. Dade Lunsford, MD, FACS Pittsburgh, Pa.
Niranjan A, Kano H, Lunsford LD (eds): Gamma Knife Radiosurgery for Brain Vascular Malformations. Prog Neurol Surg. Basel, Karger, 2013, vol 27, pp 1-4 (DOI: 10.1159/000341608)
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A Brief History of Arteriovenous Malformation Radiosurgery
Ajay Niranjan L. Dade Lunsford
Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pa., USA
______________________
Abstract
Stereotactic radiosurgery was first described by Leksell in Stockholm, Sweden in 1951. In 1967, Leksell introduced the ‘Gamma Knife’ for clinical use in carefully selected patients. A major role for radiosurgery further emerged in 1972 after its application for brain arteriovenous malformations. Radiosurgery was initially used for high risk or deep seated AVMs that were unsuitable for resection or embolization. Several additional pioneers contributed towards its continued development. Stereotactic radiosurgery is now considered as an important option for patients with brain vascular malformations, includi