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पैर में हाई फ्लो AVM के इलाज के विकल्पों के बारे में जानकारी चाहिए।
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General Health
Question #27570
101 days ago
517

पैर में हाई फ्लो AVM के इलाज के विकल्पों के बारे में जानकारी चाहिए।

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मैं 18 साल की महिला हूँ और मेरे बाएँ पैर में हाई फ्लो AVM (Arteriovenous Malformation) है। जून 2025 की MRI में टार्सल टनल और पैर की मांसपेशियों में AVM दिखा। जुलाई 2025 की CT एंजियोग्राफी में AVM का आकार 3.4 x 1.0 x 4.6 सेमी था, जिसमें डीप इंट्रामस्कुलर एक्सटेंशन था। वर्तमान लक्षण: रोजाना सूजन, दर्द, गर्मी, त्वचा का काला पड़ना, जो 9 महीने से हो रहा है। मुझे एक बार अल्सर बनने और एक बार AVM से खून बहने की समस्या हुई है। दो कार्डियोथोरेसिक सर्जनों ने कहा कि कोई इलाज संभव नहीं है और जीवनभर एडजस्ट करना होगा। मैंने अभी तक किसी इंटरवेंशनल रेडियोलॉजिस्ट से नहीं मिला हूँ। क्या मेरे केस में एम्बोलाइजेशन संभव है? क्या कोई इलाज का विकल्प उपलब्ध है?

How would you rate the severity of your pain?:

- Severe

Have you noticed any specific triggers for your symptoms?:

- Physical activity

What treatments or medications have you tried so far?:

- Elevation
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
101 days ago
5

Hello

Yes, treatment may still be possible.

High-flow Arteriovenous Malformation can sometimes be managed with embolization, a procedure done by an interventional radiologist to block the abnormal blood vessels and reduce pain, swelling, and bleeding.

In some cases, multiple sessions or a combination of embolization and surgery may be needed.

Since you have not yet consulted an interventional radiologist, it would be important to get their evaluation, as they specialize in treating these vascular malformations.

I trust this helps Thank you Take care

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Embolization could potentially be a viable option for managing a high-flow arteriovenous malformation (AVM) like yours, especially given your symptoms and current condition. Usually, embolization is a minimally invasive procedure where materials are injected to block blood flow into the AVM. It can help reduce symptoms like pain, swelling, and the risk of bleeding, although outcomes can vary based on the precise location and complexity of the AVM. Your AVM’s deep intramuscular extension observed on your imaging results may complicate treatment, so a thorough evaluation by a specialized interventional radiologist is crucial. They can determine whether embolization or another targeted therapy is appropriate for you. It’s also important to consider regular follow-ups to monitor the AVM activity, as changes could occur over time, necessitating different management strategies. While cardiothoracic surgeons might have a more generalized surgical view, interventional radiologists possess specific expertise with AVMs and can offer insights into potential treatment options or, in some cases, a combination of therapies involving embolization and sclerotherapy, which could offer symptom relief and improve quality of life. Do ensure you discuss potential risks and benefits thoroughly with the specialist to make the best-informed decision. Your ongoing symptoms indicate a need for careful, timely re-assessment by a team familiar with vascular malformations, securing both a comprehensive treatment plan and support for daily management.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
99 days ago
5

Hello dear Yes for the condition artero- venous malformation embolization is possible Another treatment options available are Sclerotherapy Compression therapy Staged embolization Surgery in combination I suggest you to please get in person consultation with interventional radiologist or plastic surgery for better clarity Regards

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