Treatment of Anatomically Limited Pulmonary Arteriovenous Malformation

Pulmonary arteriovenous malformations (PAVMs) vary considerably in their anatomical distribution. When disease is anatomically limited, the management approach may differ from broader or more diffuse presentations.

Clinical situation

This protocol applies to patients with PAVMs where the extent and location of disease is anatomically limited — a characteristic that directly shapes the intervention options considered.

Approach overview

In carefully selected patients with anatomically limited PAVMs, a surgical intervention may be appropriate — the complete eligibility criteria and procedural details are available in the full protocol.

Instant Access to Structured Evidence-Based Regimens

References

Lung transplantation is not indicated for uncomplicated PAVMs, but there may be a role for limited surgical resection if the PAVMs are unsuitable for embolisation.
For patients with ongoing neurological or other PAVM complications, if there is no realistic possibility of further improvement by embolisation and disease is anatomically limited, then surgical resection may be considered.

DOI: 10.1136/thoraxjnl-2017-211217

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