Table 1. Characteristics of the included studies.
Values reported under “Analyzed Patients” represent the final analyzed patient populations contributing extractable outcome data within each included study. These values correspond to the populations included in outcome analyses rather than initially screened or treated populations. The cumulative total is consistent with the 27,541 patients reported in the Results section. Values represent data extracted from all included studies
AVM: arteriovenous malformation; S-M: Spetzler-Martin grade; NR: not reported; SRS: stereotactic radiosurgery; HFSRT: hypofractionated stereotactic radiosurgery; LINAC: linear accelerator-based radiosurgery; NBCA: n-butyl cyanoacrylate; RCT: randomized controlled trial
| Study (year) | Country | Design | Analyzed patients | AVM location | S-M grade | Treatment modality | Follow-up | |
| Oulasvirta et al. [9] (2023) | Finland | Cohort | 41 | Supratentorial | l-V | Multimodality | Median 19.1 years | |
| Gawish et al. [10] (2022) | Germany | Cohort | 68 | NR | NR | LINAC SRS | Mean 35 months | |
| Ozden et al. [11] (2023) | Turkey | Cohort | 62 | Mixed | III-IV | Multimodality | NR | |
| Loebel et al. [12] (2022) | Germany and Italy | Cohort | 123 | Mixed | I-V | Multimodality | Median 48.1 months | |
| Zhu et al. [13] (2024) | China | Cohort | 201 | Mixed | I-IV | Gamma knife SRS | NR | |
| Jiang et al. [1] (2022) | China | Cohort | 130 | Mixed | I-V | Multimodality | Mean 37.4 months | |
| Sato et al. [14] (2020) | Japan | Cohort | 788 | Mixed | I-V | Endovascular embolization | 30 days | |
| Shah et al. [15] (2024) | USA | Cohort | 37 | Cortical | NR | Cyberknife SRS | Mean 26.2 months | |
| Walcott et al. [16] (2014) | USA | Case series | 44 | Mixed | NR | Proton beam SRS | Median 52 months | |
| Baharvahdat et al. [17] (2014) | France | Cohort | 408 | Mixed | l-V | Endovascular embolization | Short-term only (≤1 month; no long-term duration reported) | |
| van Essen et al. [18] (2018) | The Netherlands | Cohort | 25 | Mixed | I-V | Multimodality | Mean 11.5 years | |
| Brauner et al. [19] (2025) | France | Case series | 46 | Mixed | I-V | Multimodality | Median 6 months | |
| Potts et al. [20] (2015) | USA | Cohort | 232 | Mixed | I-II | Surgery | Mean 1.7 years | |
| Jordan et al. [21] (2014) | Cuba | Cohort | 71 | Mixed | l-V | Endovascular embolization | Mean 31.1 months | |
| Baharvahdat et al. [22] (2019) | France | Cohort | 224 | Mixed | I-II | Endovascular embolization | Mean 9.7 months | |
| Lv et al. [23] (2010) | China | Cohort | 30 | Supratentorial | NR | Endovascular embolization | Mean 80 months | |
| Kim et al. [24] (2019) | South Korea | Cohort | 264 | Mixed | I-IV | Gamma knife SRS | Mean 55.5 months | |
| Shekhtman et al. [25] (2015) | Russia | Cohort | 93 | Mixed | I-V | Multimodality | Mean 27.6 months | |
| Hellstern et al. [26] (2022) | Germany | Case series | 47 | NR | I-V | Endovascular embolization | NR | |
| Hancevic et al. [27] (2025) | Croatia | Cohort | 241 | Mixed | l-V | Gamma knife SRS | Mean 3 years | |
| Gao et al. [28] (2022) | China | Cohort | 88 | Mixed | I-V | Gamma knife SRS | Median 65 months | |
| Rutledge et al. [29] (2014) | USA | Cohort | 74 | Mixed | I-V | Multimodality | Mean 21 months | |
| Pierot et al. [30] (2013) | France | Case series | 20 | Supratentorial | I-IV | Multimodality | Median 3.5 years | |
| Smrcka et al. [3] (2021) | Czech Republic | Case series | 50 | Mixed | I-IV | Surgery | 3 months | |
| Abla et al. [31] (2015) | USA | Case series | 16 | Supratentorial | lll-V | Multimodality | Mean 6.9 years | |
| Sanchez-Mejia et al. [32] (2009) | USA | Cohort | 42 | NR | I-IV | Multimodality | Mean 7.1 years | |
| Arslan et al. [33] (2017) | Turkey | Cohort | 199 | Mixed | I-V | Gamma knife SRS | Median 60 months | |
| Lee et al. [34] (2024) | United Kingdom | Cohort | 88 | Mixed | I-III | Multimodality | NR | |
| van Rooij et al. [35] (2012) | The Netherlands | Case series | 23 | Mixed | NR | Endovascular embolization | Mean 21 months | |
| van Rooij et al. [36] (2012) | The Netherlands | Case series | 24 | Supratentorial | I-III | Curative embolization | 3 months | |
| Josephson et al. [37] (2012) | United Kingdom | Cohort | 229 | Supratentorial | NR | Multimodality | Median 9 years | |
| Tos et al. [38] (2025) | North America and Europe | Cohort | 96 | Mixed | IV | Multimodality | Median 24 months | |
| Pan et al. [39] (2009) | China | Case series | 20 | Supratentorial | l-lV | Multimodality | 3-24 months | |
| Chen et al. [40] (2023) | China | Cohort | 622 | NR | I-V | Endovascular embolization | Median 5.5 years | |
| Maryashev et al. [41] (2015) | Russia | Case series | 315 | Mixed | II-V | SRS | Median 2.5 years | |
| He et al. [42] (2018) | China | Cohort | 10 | Supratentorial | I-IV | Transvenous embolization | Median 8 months | |
| Mohr et al. [43] (2017) | Multinational | RCT | 223 | NR | I-II | Comparative multimodality study | Median 33.3 months | |
| Chen et al. [44] (2021) | China | Cohort | 71 | Supratentorial | I-V | Comparative multimodality study | Mean 4.2 years | |
| Liu et al. [45] (2010) | China | Case series | 126 | Supratentorial | NR | Onyx embolization | Median 33 months | |
| Tos et al. [46] (2025) | Multicenter (USA and Europe) | Cohort | 180 | Mixed | I-II | Comparative multimodality study | Median 12-36 months | |
| Branko et al. [47] (2025) | Italy | Cohort | 209 | Mixed | I-V | Multimodality | Median 54 months | |
| Mounayer et al. [48] (2007) | France | Case series | 94 | Mixed | I-V | Onyx embolization | Median 4.5 months | |
| Patel et al. [49] (2008) | India | Case series | 54 | Mixed | I-V | LINAC SRS | Median 33 months | |
| Karlsson et al. [50] (2022) | Multinational | Cohort | 5,037 | NR | NR | Gamma knife SRS | 2 years | |
| Alexander et al. [51] (2018) | USA | Case control | 160 | NR | NR | Comparative multimodality study | Median 1.6 years | |
| Nakai et al. [52] (2012) | Japan | Case series | 19 | NR | I-V | Multimodality | Mean 39.2 months | |
| Panagiotopoulos et al. [53] (2009) | Germany | Case series | 82 | Mixed | I-V | Onyx embolization | Mean 8.8 months | |
| Huang et al. [54] (2024) | Taiwan | Cohort | 262 | Mixed | I-V | SRS | Median 61.8 months | |
| Sheth et al. [55] (2014) | USA | Cohort | 42 | Mixed | II-V | Gamma knife SRS | 3 years | |
| Kondo et al. [56] (2014) | Japan | Cohort | 987 | Mixed | I-V | Endovascular embolization | 30 days | |
| Weber et al. [57] (2007) | Germany | Case series | 93 | Mixed | I-V | Onyx embolization | Mean 9.5 months | |
| Jayaraman et al. [58] (2008) | USA | Cohort | 192 | Deep | I-V | Endovascular embolization | NR | |
| Chye et al. [59] (2020) | Taiwan | Cohort | 1,515 | NR | NR | Gamma Knife SRS | 15 years | |
| Han et al. [60] (2023) | China | Cohort | 1,348 | NR | I-III | Surgery and SRS | Mean 6.4 years | |
| Galaktionov et al. [61] (2017) | Russia | Cohort | 40 | Mixed | I-V | Multimodality | NR | |
| Javalkar et al. [62] (2009) | USA | Case series | 37 | Mixed | II-V | Gamma knife SRS | Median 23 months | |
| Ahmetspahic et al. [63] (2021) | Japan | Case series | 11 | Mixed | I-V | Multimodality | Median 39.5 months | |
| Jordan et al. [64] (2014) | Cuba | Cohort | 71 | Mixed | I-V | Endovascular embolization | Mean 31.1 months | |
| Chowdhury et al. [65] (2015) | Bangladesh | Cohort | 60 | Mixed | NR | Comparative multimodality study | 1.3 years | |
| Peciu-Florianu et al. [66] (2020) | France | Cohort | 172 | Mixed | I-IV | Gamma knife radiosurgery | Median 8.8 years | |
| Punyawai et al. [67] (2021) | Thailand | Cohort | 166 | Mixed | NR | CyberKnife SRS | Median 72.45 months | |
| Iosif et al. [68] (2022) | France | Case series | 22 | Mixed | I-V | Transvenous embolization | 12 months | |
| Huo et al. [69] (2015) | China | Cohort | 86 | Mixed | I-V | Multimodality | Mean 42 months | |
| Heidenreich et al. [70] (2006) | Germany | Cohort | 66 | NR | NR | Endovascular embolization | NR | |
| Feng et al. [71] (2017) | China | Case series | 52 | Mixed | I-IV | Surgery | Mean 22.5 months | |
| Maruyama et al. [72] (2005) | Japan | Cohort | 500 | NR | III | Gamma knife SRS | Median 7.8 years | |
| Morgan et al. [73] (2015) | Australia | Cohort | 112 | Supratentorial | III | Surgery | Median 3 years | |
| Hauck et al. [74] (2009) | USA | Cohort | 41 | Supratentorial | I-V | Onyx embolization | NR | |
| Sousa et al. [75] (2016) | Brazil | Cohort | 90 | Mixed | III | Multimodality | 3 years | |
| Esteves et al. [76] (2008) | Brazil | Case series | 61 | Mixed | III-IV | Radiosurgery | Mean 28.8 months | |
| Abla et al. [77] (2015) | USA | Cohort | 174 | Supratentorial | I-V | Surgery | Median 5.3 years | |
| Abud et al. [78] (2011) | Brazil and France | Case series | 17 | Mixed | I-IV | Onyx embolization | 6 months | |
| Dănăilă [79] (2012) | Romania | Case series | 46 | Mixed | I-IV | Surgery | 6 months | |
| de los Reyes et al. [80] (2011) | USA | Cohort | 43 | Mixed | I-V | Onyx embolization | Median 27.5 months | |
| He et al. [81] (2019) | China | Cohort | 21 | Mixed | I-IV | Transvenous embolization | Median 5.5 months | |
| De Sousa et al. [82] (2020) | France | Cohort | 57 | Mixed | I-V | Endovascular embolization | 6 months | |
| Potts et al. [83] (2014) | USA | Cohort | 215 | Mixed | II-V | SRS | 3 years | |
| Gao et al. [84] (2014) | China | Case series | 22 | Mixed | I-IV | Endovascular embolization | Mean 15 months | |
| Raupp and Fernandes [85] (2005) | Brazil | Cohort | 104 | Mixed | NR | NBCA embolization | 8 years | |
| Komatsu et al. [86] (2020) | Japan | Cohort | 242 | NR | I-V | Transvenous embolization | NR | |
| Copelan et al. [87] (2020) | USA | Cohort | 115 | Mixed | NR | Surgery | Mean 2.3 years | |
| Cellerini et al. [88] (2002) | Italy | Case series | 10 | Mixed | NR | Multimodality | Mean 23 months | |
| Takagi et al. [89] (2012) | Japan | Case series | 38 | NR | III-V | Surgery | NR | |
| Reynolds et al. [90] (2019) | USA | Cohort | NR | NR | NR | Comparative multimodality study | NR | |
| Blamek et al. [91] (2013) | Poland | Case series | 10 | Supratentorial | II-IV | SRS | Median 38.5 months | |
| Mukherjee et al. [92] (2017) | India | Case series | 14 | Mixed | II-V | Gamma knife SRS | Median 35.6 months | |
| Starke et al. [93] (2009) | USA | Cohort | 202 | NR | I-IV | Multimodality | Mean 43.4 months | |
| Oermann et al. [94] (2016) | USA | Cohort | 1,810 | Mixed | NR | SRS | Median 3-4 years | |
| Jalali et al. [95] (2009) | India | Case series | 23 | Mixed | II-III | SRS | Median 22 months | |
| Yu et al. [96] (2004) | China | Case series | 27 | Mixed | I-V | Endovascular embolization | 2-7 years | |
| Stapf [97] (2010) | Multinational | RCT | 800 | NR | NR | Comparative multimodality study | Planned ≥5 years | |
| Lang et al. [98] (2012) | USA | Cohort | 28 | Supratentorial | I-IV | Surgery | Median 15 months | |
| Sirakov et al. [99] (2020) | Bulgaria | Case series | 16 | NR | I-IV | Endovascular embolization | Mean 5.1 months | |
| Mohan et al. [100] (2024) | India | Case series | 15 | Supratentorial | III | LINAC SRS | Median 15 months | |
| Qureshi et al. [101] (2020) | Multinational | Subgroup analysis of RCT | 26 | NR | I-IV | Endovascular embolization | Median 11.8 months | |
| Liu et al. [102] (2014) | China | Case series | 31 | Mixed | I-II | Curative embolization | 3-6 months | |
| Kim et al. [103] (2020) | South Korea | Cohort | 98 | NR | I-IV | Multimodality | Median 47 months | |
| Chen et al. [104] (2021) | Multinational | Cohort | 1,178 | Mixed | NR | Multimodality | Mean 4-6 years | |
| Arai et al. [105] (2006) | Japan | Cohort | 13 | Supratentorial | II-IV | Multimodality | Mean 51.6 months | |
| Sobh and Hegazy [106] (2013) | Egypt | Case series | 15 | Mixed | I-V | Endovascular embolization | 3 months | |
| Tomsick et al. [107] (2002) | USA | RCT | 104 | NR | I-V | Endovascular embolization | NR | |
| Sun et al. [108] (2025) | Taiwan | Cohort | 75 | Mixed | II-III | Gamma knife SRS | Median 104 months | |
| Bitaraf et al. [109] (2017) | Iran | Cohort | 388 | Mixed | I-V | Gamma knife SRS | Mean 61.6 months | |
| Yan et al. [110] (2021) | China | Cohort | 152 | Mixed | I-II | Multimodality | Mean 6.2 years | |
| Blamek et al. [111] (2013) | Poland | Cohort | 49 | Mixed | II-V | HFSRT | Median 23.8 months | |
| Toader et al. [112] (2024) | Romania | Cohort | 128 | Mixed | I-V | Multimodality | 2 years | |
| Shuto and Matsunaga [113] (2021) | Japan | Cohort | 19 | Mixed | III-V | Gamma knife SRS | Mean 3.9 years | |
| Leonardi et al. [114] (2005) | Italy | Case series | 34 | Mixed | III-V | Multimodality | NR | |
| Choe et al. [115] (2008) | South Korea | Case series | 100 | Mixed | I-V | Gamma knife SRS | Mean 37.5 months | |
| Lee et al. [116] (2009) | South Korea | Cohort | 23 | Mixed | II-V | Gamma knife SRS | Mean 41.2 months | |
| Conger et al. [117] (2016) | USA | Cohort | 11 | Mixed | I-IV | Multimodality | Median 2 months | |
| Pierot et al. [118] (2005) | France | Cohort | 48 | Mixed | NR | Endovascular embolization | NR | |
| Winkler et al. [119] (2020) | USA | Cohort | 189 | NR | I-V | Multimodality | Mean 4.1 years | |
| Sethi et al. [120] (2023) | USA | Case series | 16 | Mixed | II-IV | SRS | Median 35 months | |
| Koo et al. [121] (2024) | Korea | Cohort | 154 | Mixed | I-V | Gamma knife SRS | Mean 52.1 months | |
| Fang et al. [122] (2022) | China | Case series | 150 | Mixed | I-V | Multimodality | 30 days | |
| Miyachi et al. [123] (2017) | Japan | Cohort | 73 | Mixed | I-V | Multimodality | 3 years | |
| Raymond et al. [124] (2005) | Canada | Cohort | 227 | Mixed | NR | Multimodality | Mean 32 months | |
| Elewa [125] (2018) | Egypt | Case series | 21 | Supratentorial | II | Endovascular embolization | Mean 45.5 months | |
| Nagashima et al. [126] (2004) | Japan | Cohort | 126 | Mixed | I-V | Multimodality | NR | |
| Sugiu et al. [127] (2004) | Japan | Cohort | 68 | Mixed | I-IV | Endovascular embolization | NR | |
| Wang et al. [128] (2021) | China | Cohort | 38 | Mixed | IV-V | Multimodality | Median 4.5 months | |
| He et al. [129] (2022) | China | Cohort | 27 | Supratentorial | I-IV | Endovascular embolization | Median 36 months | |
| Zeng et al. [130] (2022) | China | Cohort | 132 | Mixed | I-IV | Multimodality | NR | |
| Maalim et al. [131] (2023) | China | Cohort | 169 | Mixed | I-V | Surgery | Mean 28 months | |
| Miron et al. [132] (2024) | Romania | Cohort | 191 | Mixed | I-V | Surgery | Mean 28 months | |
| Li et al. [133] (2005) | China | Cohort | 469 | NR | I-V | Endovascular embolization | NR | |
| Behzadi et al. [134] (2022) | USA | Cohort | 30 | Mixed | I-V | Endovascular embolization | Mean 39 months | |
| Hashim et al. [135] (2016) | Malaysia | Cohort | 13 | Mixed | I-IV | Endovascular embolization | NR | |
| Song et al. [136] (2005) | China | Case series | 50 | Mixed | NR | Onyx embolization | 6 months | |
| Bai et al. [137] (2019) | China | Case series | 11 | Supratentorial | I-III | Endovascular embolization | Mean 17 months | |
| Hong et al. [138] (2024) | South Korea | Cohort | 55 | Mixed | I-II | Surgery | 90 days | |
| Yu et al. [139] (2025) | China | Cohort | 213 | Mixed | I-V | Multimodality | Mean 49.9 months | |
| De Witt et al. [140] (2021) | USA | Cohort | 956 | NR | NR | Gamma knife SRS | 30 days | |
| Morgan et al. [141] (2000) | Australia | Cohort | 250 | Mixed | I-V | Multimodality | 12 months |