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Arteriovenous Malformations (AVM) are vascular
lesions that result from faulty development of blood vessels in the body.
There are several different types of AVMs. They mostly occur as an
isolated abnormality in an otherwise healthy individual. An AVM
may also be associated with other congenital abnormalities.
AVMs are usually only discovered
if they cause symptoms for a patient. Patients may suffer from epilepsy,
haemorrhage (excess bleeding), ischaemia (obstruction of the blood supply) or some other
neurological deficit if the AVM is in the brain. In the body, patients may
suffer from ischemia, haemorrhage, ulceration of the tissues supplied by
the vessels.
The size and location of AVMs are discovered by
using Doppler, CT or MRI scans
Asymptomatic AVMs are not
treated. For those with serious complications the treatment of choice is
sclerotherapy using transcatheter embolisation. Small catheters are passed
into the AVM and materials such as metal coils, foam, and glue are passed into vessels to obstruct them and restore normal blood
vessel supply. In some cases complete resection may be possible by
surgery. For those people whose AVM is not suitable for any form of
corrective procedure the
patient receives symptomatic treatment only. |
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An angiogram of an arm AVM showing the
extensive abnormal vascularisation. |