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The addition of adjuvant radiotherapy in the management of extracranial arterio-venous malformations: a case discussion

Published online by Cambridge University Press:  27 May 2022

Miriam Vicente-Ruiz ,
Javier Aristu  and
Bernardo Hontanilla Open the ORCID record for Bernardo Hontanilla [Opens in a new window]
Miriam Vicente-Ruiz
Affiliation:
Department of Plastic and Reconstructive Surgery, Clínica Universidad de Navarra, Pamplona, Spain
Javier Aristu
Affiliation:
Department of Radiotherapeutic Oncology, Clínica Universidad de Navarra, Pamplona, Spain
Bernardo Hontanilla*
Affiliation:
Department of Plastic and Reconstructive Surgery, Clínica Universidad de Navarra, Pamplona, Spain
*
Author for correspondence: Dr Bernardo Hontanilla, Department of Plastic and Reconstructive Surgery, Clínica Universidad de Navarra, Av. Pio XII 36, 31008, Pamplona, Spain. Tel: 34 948255400. Fax: 34 948296500. E-mail: bhontanill@unav.es
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Abstract

Introduction:

The management of extracranial arterio-venous malformations (AVMs) is complex and often requires a multidisciplinary approach. Currently, treatment includes surgical resection and embolotherapy.

Methods:

We present the case of a foot AVM that was managed with adjuvant radiotherapy after previous surgery and embolotherapy had been attempted, and we discuss the role of radiotherapy in the management of extracranial AVMs.

Results:

The malformation was successfully eradicated with complete obliteration of the nidus and no recurrence.

Conclusions:

The addition of radiotherapy in the management of extracranial arterio-venous malformations offers promising results using similar doses to those used in brain AVMs.

Keywords

AmputationArteriovenous malformationFree flapRadiotherapy
Type
Case Study
Information
Journal of Radiotherapy in Practice , Volume 22 , 2023 , e47
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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