Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-10T14:39:01.723Z Has data issue: false hasContentIssue false
  • English
  • Français

External beam radiotherapy in the treatment of extensive vascular malformation of the lower extremity refractory to surgery and interventional embolisation therapy

Published online by Cambridge University Press:  01 September 2009

Mark Trombetta ,
Jonathan Potts ,
Vladimir Valakh ,
E. Day Werts ,
Elmer Nahum  and
David Parda
Mark Trombetta
Affiliation:
Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
Jonathan Potts
Affiliation:
Department of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
Vladimir Valakh
Affiliation:
Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA
E. Day Werts
Affiliation:
Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
Elmer Nahum
Affiliation:
Department of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
David Parda
Affiliation:
Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
Get access Rights & Permissions [Opens in a new window]

Abstract

This patient case-study represents the introduction of radiotherapy in the management of extra-cranial vascular malformations, a topic with virtually no supported literature before our case study. In those patients refractory to established therapies and facing the inevitability of mutilating amputation, radiotherapy may be a viable option to preserve the limb.

Keywords

Arterio-vascular malformationradiationAVMembolisation
Type
Case Report
Information
Journal of Radiotherapy in Practice , Volume 8 , Issue 3 , September 2009 , pp. 157 - 162
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baskaya, MK, Jea, A, Heros, RC et al. Cerebral arteriovenous malformations. Clin Neurosurg 2006; 53: 114–144.Google ScholarPubMed
Kelly, ME, Guzman, R, Sinclair, J et al. Multimodality treatment of posterior fossa arteriovenous malformations. J Neurosurg 2008; 108 (6): 1152–1161.CrossRefGoogle ScholarPubMed
Jones, J, Jang, S, Getch, CC et al. Advances in the radiosurgical treatment of large inoperable arteriovenous malformations. Neurosurg Focus 2007; 23 (6): E7.CrossRefGoogle ScholarPubMed
Hartmann, A, Mast, H, Choi, JH et al. Treatment of arteriovenous malformations of the brain. Curr Neurol Neurosci Rep 2007; 7 (1): 28–34.Google Scholar
Starke, RM, Komotar, RJ, Hwang, BY et al. A comprehensive review of radiosurgery for cerebral arteriovenous malformations: outcomes, predictive factors, and grading scales. Stereotact Funct Neurosurg 2008; 86 (3): 191–199.CrossRefGoogle ScholarPubMed
Seccia, A, Salgarello, M, Farallo, E et al. Combined radiological and surgical treatment of arteriovenous malformations of the head and neck. Ann Plast Surg 1999; 43 (4): 359–366.Google Scholar
Kohout, MP, Hansen, M, Pribaz, JJ et al. Arteriovenous malformations of the head and neck: natural history and management. Plast Reconstr Surg 1998; 102 (3): 643–654.CrossRefGoogle ScholarPubMed
Donaldson, SS, McDougall, IR. Grave's disease. Radiotherapy of intraocular and orbital tumors. In: Alberti, WE, Sagerman, RH (eds). Radiotherapy of Intraocular and Orbital Tumors. 2nd edition. Berlin: Springer, pp 145–152, 2002.Google Scholar
Habrand, J, Ganry, O, Coanet, D et al. The role of radiation therapy in the management of craniopharyngioma: a 25 year experience and review of the literature. Int J Radiat Oncol Biol Phys 1999; 44: 255–263.CrossRefGoogle ScholarPubMed
Kamath, S, Parsons, J, Marcus, R. Radiotherapy for local control of aggressive fibriomatosis. Int J Radiat Oncol Biol Phys 1996; 36: 325–328.CrossRefGoogle Scholar
Tripuraneni, P. Coronary artery radiation therapy for the prevention of restenosis after percutaneous coronary angioplasty, II: outcomes of clinical trials. Semin Radiat Oncol 2002; 12: 17–30.Google Scholar
Hida, K, Shirato, H, Seki, T et al. Focal fractionated radiotherapy for intramedullary spinal arteriovenous malformations: 10-year experience. J Neurosurg 2003; 99 (1 Suppl): 34–38.Google Scholar
Sato, M, Kishi, K, Shirai, S et al. Radiation therapy for a massive arteriovenous malformation of the pancreas. Am J Roentgenol 2003; 181 (6): 1627–1628.Google Scholar
Kishi, K, Shirai, S, Sonomura, T et al. Selective conformal radiotherapy for arteriovenous malformation involving the spinal cord. Br J Radiol 2005; 78 (927): 252–254.Google Scholar
Rudman, RA, Clark, WJ. A large vascular malformation of the tongue treated with radiation therapy. J Oral Maxillofac Surg 1997; 55 (5): 509–514.Google Scholar
Steiner, L, Lindquist, C, Steiner, M. Radiosurgery. Adv Tech Stand Neurosurg 1992; 19: 19–102.CrossRefGoogle ScholarPubMed