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KMID : 0357019960120010112
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Journal of the Korean Vascular Surgery Society
1996 Volume.12 No. 1 p.112 ~ p.118
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A Clinical Study of Arteriovenous Malformation
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Abstract
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Congenital arteriovenous malformations are abnormal communications between the arterial and venous system. These lesions are the result of faulty development of blood vessels. Their extenaive manifestations create occasional disgnostic and
frequent
therapeutic problems, their pathologic and clinical characteristics are not widely known. During the periods between 1989.1.1 and 1995.6.30, we experienced 12 cases of congenital arteriovenous malformations and we evaluated various clinical
features of
the cases, and the results were as follows;
1) The range of age was 6 years to 52 years and 6 caes(50%) of the patients were between and and 3rd decade and the rate of male to female 7:5.
2) The duration between appearence of first lesion and medical examination was less than 1 year in 6 cases(50%).
3) The frequent symptoms and signs were pain and tenderness(50%), pulsating mass(41.7%), skin discolorization(33.3%) and swelling, limb hypertrophy(25.0%) as in the order.
4) The location of AVM were in lower extrimity (50.0%), face (25.0%), upper extrimity(6.7), pelvic cavity(8.3%)
5) The combined theraphy of embolization and feeding artery ligation and exision were performed in 4 casesa(36.4%), the excision in 3 cases(36.4%), the exision and feeding artery ligation in 2 cases(18.2%), the embolization only in 1 case(9.1%),
the
amputation due to necrosis at admission in 1 case(9.1%)
6) In localized type, complete excision was done in 5 of 8 cases. But in diffuse type, therapeutic intervention was impossible.
In conclusion, good results are achieved in sharply localized lesions with sugical approach. But manegement of diffuse lesions should be carefully planned.
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