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  • Title: Management of congenital arteriovenous malformations.
    Author: Abdool-Carrim AT, Cuschieri RJ, Vohra R, Pollock JG, Reid WH, McKellar NJ, Gilmour DG.
    Journal: J R Coll Surg Edinb; 1990 Feb; 35(1):39-41. PubMed ID: 2342009.
    Abstract:
    Over a 6-year period, 12 patients with 14 congenital arteriovenous malformations were considered for a staged approach to include afferent vessel ligation (AVL) and/or intra-arterial embolization (IAE) and surgical excision where possible. Patients were followed for a period ranging from 3 to 60 months. Two patients had localized lesions which were completely excised. Five patients were treated by IAE followed by excision with a successful outcome in four. One patient had a transmetatarsal amputation for failed IAE. Two patients had both IAE and AVL before excision of the lesion. In one patient AVL alone was followed by a recurrence. Two patients with multiple lesions were kept under observation. It would appear that IAE and excision of an arteriovenous malformation can achieve cure or excellent palliation in most patients.
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