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  • Title: Radiation therapy for intractable bleeding in extremity arteriovenous malformation: considerations on a clinical case.
    Author: Goda JS, Kapoor R, Yadav BS, Sharma SC.
    Journal: J Med Imaging Radiat Oncol; 2009 Jun; 53(3):331-4. PubMed ID: 19624302.
    Abstract:
    Arteriovenous malformations are rare clinicopathological entities with varied distribution and a constellation of symptoms. In the extremities they are usually associated with dermatological manifestations, such as angiodermatitis with a potential risk of torrential haemorrhage. Surgical resection is a morbid procedure. Transcatheter embolization and sclerotherapy is an attractive alternative to surgical resection. However, proper case selection is a prerequisite and may not be possible in all the cases. The case reported here is a paradigm of a complex and extensive vascular malformation with torrential haemorrhage where a unique therapeutic approach of radiation therapy was used as an alternative to morbid surgery after embolization and sclerotherapy failure.
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