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Inquiry About Treatment Options for High Flow AVM in Foot
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General Health
Question #27570
184 days ago
705

Inquiry About Treatment Options for High Flow AVM in Foot

Client_f64b91

"I am 18 year old female with high flow AVM (Arteriovenous Malformation) in my left foot. MRI June 2025 showed AVM in tarsal tunnel and foot muscles. CT Angiography July 2025 showed AVM measuring 3.4 x 1.0 x 4.6 cm with deep intramuscular extension. Current symptoms: daily swelling, pain, heat, skin darkening for 9 months. I have had one episode of ulcer formation and one episode of bleeding from the AVM. Two Cardiothoracic Surgeons said no treatment possible and to adjust lifetime. I have not yet seen an Interventional Radiologist. Is embolization possible for my case? Is there any treatment option available?"

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

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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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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