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What are the best treatments for Arteriovenous Malformation AVM?

See the best treatments for Arteriovenous Malformation AVM here

Arteriovenous Malformation AVM treatments

An arteriovenous malformation (AVM) is an abnormal tangle of blood vessels that connects arteries and veins. This condition can occur anywhere in the body, but it is most commonly found in the brain or spinal cord. AVMs are typically present at birth, but symptoms may not appear until later in life. If left untreated, AVMs can lead to serious complications such as bleeding, seizures, or neurological deficits.



Treatment options for AVMs depend on various factors including the size, location, and symptoms associated with the malformation. The goal of treatment is to eliminate or reduce the risk of complications while preserving neurological function. Here are some of the best treatment options for AVMs:



1. Observation: In some cases, particularly if the AVM is small and not causing any symptoms, a "wait and watch" approach may be recommended. Regular monitoring through imaging tests can help determine if intervention is necessary.



2. Medications: Medications may be prescribed to manage symptoms associated with AVMs, such as seizures or headaches. However, medications cannot cure the malformation itself.



3. Endovascular embolization: This minimally invasive procedure involves the injection of a glue-like substance or small metal coils into the blood vessels feeding the AVM. The goal is to block the abnormal blood flow and reduce the risk of bleeding. Endovascular embolization is often used as a preoperative treatment to make surgical removal of the AVM safer and more effective.



4. Stereotactic radiosurgery: This non-invasive procedure uses highly focused radiation beams to target and destroy the AVM. Over time, the AVM shrinks and the risk of bleeding decreases. Stereotactic radiosurgery is typically recommended for small AVMs that are difficult to access surgically or for patients who are not suitable candidates for surgery.



5. Microsurgical resection: Surgical removal of the AVM may be considered for certain cases. This procedure involves accessing the AVM through open skull or spinal surgery and carefully removing the abnormal blood vessels. Microsurgical resection is often recommended for larger AVMs or those causing significant symptoms. The success of the surgery depends on the location and complexity of the AVM.



6. Multimodal treatment: In some situations, a combination of treatment approaches may be used to effectively manage AVMs. For example, endovascular embolization may be followed by stereotactic radiosurgery or surgical resection to achieve the best outcome.



It is important to note that the choice of treatment depends on individual factors and should be made in consultation with a team of specialists including neurosurgeons, interventional radiologists, and radiation oncologists. The risks, benefits, and potential outcomes of each treatment option should be thoroughly discussed with the patient to make an informed decision.


Diseasemaps
8 answers
Once an avm has been diagnosed, the patient is given several options:

1. Radiation or Gamma Knife Treatments
2. Closed Surgery- Ombolization using coils or Onyx Glue
3. Open Surgery- Craniotomy: skull is opened, avm is visualized, abnormal cluster of vessels is removed, blood flow is re-routed.


Posted Sep 12, 2017 by Rhonda 2150
The best treatment is dependent on the location of the AVM, they symptoms and what your doctor recommends

Posted Sep 13, 2017 by Jill 2000
I have had 8 surgeries. The schlerotherapy, glue, and ethanol are the treatments I’ve had. We also tried Cryo-Ablation, but it didn’t work. I do get some relief from the ethanol treatments. Just not long term.

Posted Nov 2, 2017 by Kelly 1200
Depending on the size, a craniotomy and embolization is used for a smaller AVM. Gamma knife is used for larger, inoperable AVMs. Sometimes they are completely inoperable and can only be watched by your neurosurgeon.

Posted Nov 3, 2017 by Francesca 150
The diagnosis is confirmed with either CT scan or MRI scan to build a picture of the brain, AVMs are faulty blood vessels, and surgery can be done, but depending on the location also has risks associated with surgery which is the only long term solution. Prevention is better than cure, avoiding distending the weak blood vessels ie avoid sudden increases of blood pressure, pain and inflammation can be eased by taking Ibuprofen, always with or after food, letting your clinician know what you are doing. Avoid bending down, or picking up any heavy weights. It can be hard having a hidden disability, ensure that your GP knows and understands as this is a rare condition and there are risks that are increased that can be misunderstood and misdiagnosed

Posted Jul 5, 2020 by Mary 2500
observation, microsurgery, endovascular embolization, stereotactic radiosurgery, or a combination of these.

Posted Sep 16, 2021 by Natalija 400
Only know of three options for AVM in the brain Open brain surgery or embolisaion or gamma knife radiation. Can be a misture of 1 or 2 or even all 3 of the above. Oral medication is not an option as far as I am aware

Posted Nov 3, 2022 by Heather 5020

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