Arteriovenous malformations of the head and neck: current concepts in management

Christopher Fowell1, Robert Jones2, Hiroshi Nishikawa3

  • 1Oral and Maxillofacial Surgery, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Birmingham, B15 2WB.

Insights

This review covers current trends and evidence-based management for arteriovenous malformations, enhancing understanding of these vascular anomalies. It aids clinicians in providing optimal care for patients with these complex conditions.

Area of Science:

  • Vascular Surgery
  • Dermatology
  • Pediatrics

Background:

  • Vascular anomalies encompass a range of conditions, including haemangiomas and vascular malformations.
  • Recent advancements have significantly improved the understanding of these anomalies.
  • Arteriovenous malformations (AVMs) represent a complex subset requiring specialized management.

Purpose of the Study:

  • To provide an educational review of current trends in the management of arteriovenous malformations.
  • To summarize evidence-based strategies for the clinical management of AVMs.
  • To serve as the first in a series of reviews on vascular anomalies.

Main Methods:

  • Literature review of recent advancements in AVM understanding and treatment.
  • Synthesis of evidence-based guidelines and clinical best practices.
  • Focus on current trends in diagnosis and therapeutic interventions for AVMs.

Main Results:

  • The understanding of AVMs has evolved, leading to refined management approaches.
  • Evidence-based strategies are crucial for effective clinical intervention.
  • Current trends emphasize a multidisciplinary approach to AVM care.

Conclusions:

  • Optimal management of arteriovenous malformations requires up-to-date knowledge of current trends.
  • Evidence-based practice is essential for improving patient outcomes in vascular anomalies.
  • This review provides a foundation for understanding and managing AVMs.

Related Concept Videos

Veins of Head and Neck01:19

Veins of Head and Neck

The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
6.8K
Arteries of the Head and Neck01:26

Arteries of the Head and Neck

The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
4.2K
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
573
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
3.0K
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
366
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
459