Peripheral Arteriovenous Malformations: Imaging and Endovascular Management Strategies

The peripheral high-flow vascular malformation (HFVM) comprises arteriovenous malformation (AVM) and fistula (AVF), shows varied clinical presentation (ranging from subtle skin lesion to life-threatening congestive heart failure), and frequently poses diagnostic and therapeutic challenges. Importanc...

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Main Authors: Virender Malik, Harshith Kramadhari, Jawahar Rathod, Yadav W. Munde, Uday Bhanu Kovilapu
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-04-01
Series:Journal of Clinical Interventional Radiology ISVIR
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728986
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author Virender Malik
Harshith Kramadhari
Jawahar Rathod
Yadav W. Munde
Uday Bhanu Kovilapu
author_facet Virender Malik
Harshith Kramadhari
Jawahar Rathod
Yadav W. Munde
Uday Bhanu Kovilapu
author_sort Virender Malik
collection DOAJ
description The peripheral high-flow vascular malformation (HFVM) comprises arteriovenous malformation (AVM) and fistula (AVF), shows varied clinical presentation (ranging from subtle skin lesion to life-threatening congestive heart failure), and frequently poses diagnostic and therapeutic challenges. Importance of assigning a specific diagnosis to the vascular malformation cannot be overstated, as the treatment strategy is based on the type of vascular anomaly. Although the International Society for the Study of Vascular Anomalies (ISSVA) classification system is the most commonly accepted system for classifying congenital vascular anomalies in clinical practice, the Cho–Do et al classification is of utmost help in guiding optimal mode of treatment in peripheral AVM. Although transarterial approach remains the most commonly employed route for peripheral AVM embolization, the role of transvenous and direct percutaneous approach is ever increasing and the final decision on the approach depends on angioarchitecture of the AVM. In this article, we review various commonly employed classification systems for congenital vascular anomalies, and describe clinical features, imaging and treatment strategies for peripheral arteriovenous malformation (PAVM).
format Article
id doaj-art-9e9c4d351e934496aba0d8dd9906146e
institution OA Journals
issn 2456-4869
language English
publishDate 2022-04-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Journal of Clinical Interventional Radiology ISVIR
spelling doaj-art-9e9c4d351e934496aba0d8dd9906146e2025-08-20T02:18:29ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692022-04-01601435110.1055/s-0041-1728986Peripheral Arteriovenous Malformations: Imaging and Endovascular Management StrategiesVirender Malik0Harshith Kramadhari1Jawahar Rathod2Yadav W. Munde3Uday Bhanu Kovilapu4Army Institute of Cardiothoracic sciences (AICTS), affiliated to Armed Forces Medical College, Pune, IndiaKS Hegde Medical Academy, Derlakatte, Mangalore, IndiaGovernment Medical College and Hospital, Nagpur, IndiaRuby Hall Clinic, Pune, IndiaArmed Forces Medical College, IndiaThe peripheral high-flow vascular malformation (HFVM) comprises arteriovenous malformation (AVM) and fistula (AVF), shows varied clinical presentation (ranging from subtle skin lesion to life-threatening congestive heart failure), and frequently poses diagnostic and therapeutic challenges. Importance of assigning a specific diagnosis to the vascular malformation cannot be overstated, as the treatment strategy is based on the type of vascular anomaly. Although the International Society for the Study of Vascular Anomalies (ISSVA) classification system is the most commonly accepted system for classifying congenital vascular anomalies in clinical practice, the Cho–Do et al classification is of utmost help in guiding optimal mode of treatment in peripheral AVM. Although transarterial approach remains the most commonly employed route for peripheral AVM embolization, the role of transvenous and direct percutaneous approach is ever increasing and the final decision on the approach depends on angioarchitecture of the AVM. In this article, we review various commonly employed classification systems for congenital vascular anomalies, and describe clinical features, imaging and treatment strategies for peripheral arteriovenous malformation (PAVM).http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728986peripheral arteriovenous malformationsendovascular management strategies
spellingShingle Virender Malik
Harshith Kramadhari
Jawahar Rathod
Yadav W. Munde
Uday Bhanu Kovilapu
Peripheral Arteriovenous Malformations: Imaging and Endovascular Management Strategies
Journal of Clinical Interventional Radiology ISVIR
peripheral arteriovenous malformations
endovascular management strategies
title Peripheral Arteriovenous Malformations: Imaging and Endovascular Management Strategies
title_full Peripheral Arteriovenous Malformations: Imaging and Endovascular Management Strategies
title_fullStr Peripheral Arteriovenous Malformations: Imaging and Endovascular Management Strategies
title_full_unstemmed Peripheral Arteriovenous Malformations: Imaging and Endovascular Management Strategies
title_short Peripheral Arteriovenous Malformations: Imaging and Endovascular Management Strategies
title_sort peripheral arteriovenous malformations imaging and endovascular management strategies
topic peripheral arteriovenous malformations
endovascular management strategies
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728986
work_keys_str_mv AT virendermalik peripheralarteriovenousmalformationsimagingandendovascularmanagementstrategies
AT harshithkramadhari peripheralarteriovenousmalformationsimagingandendovascularmanagementstrategies
AT jawaharrathod peripheralarteriovenousmalformationsimagingandendovascularmanagementstrategies
AT yadavwmunde peripheralarteriovenousmalformationsimagingandendovascularmanagementstrategies
AT udaybhanukovilapu peripheralarteriovenousmalformationsimagingandendovascularmanagementstrategies