[Congenital arterio-venous malformations. Long-term therapeutic effects of arterial ligatures. A plea for their abandon in favour of more recent procedures (author's transl)].
It is well known that proximal arterial ligations have no curative effect on arterio-venous malformations, unfortunately however they are still employed. The immediate and late consequences of such ligatures have been studied by analysing 36 out of 142 cases of arterio-venous malformations. These ligatures interfere with ulterior treatment. At present such a treatment relies on a combination of radio-surgical treatment associated with embolization and complete surgical excision of the malformation, whenever it is possible.
D001158:Arteries; D001165:Arteriovenous Malformations / Q000601:surgery*; D002342:Carotid Artery, External; D004621:Embolization, Therapeutic; D005121:Extremities / Q000098:blood supply; D006801:Humans; D008026:Ligation / Q000009:adverse effects; D010388:Pelvis / Q000098:blood supply; D013997:Time Factors
Les malformations artério-veineuses congénitales. Conséquences évolutives et thérapeutiques des ligatures artérielles. Plaidoyer pour leur abandon et solutions actuelles.