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Arteriovenous malformation

MedGen UID:
2042
Concept ID:
C0003857
Congenital Abnormality
Synonym: AVM
SNOMED CT: AV - Congenital arteriovenous anomaly (234141001); Congenital arteriovenous malformation (234141001); AV - Congenital arteriovenous malformation (234141001); AVM - Congenital arteriovenous malformation (234141001); Arteriovenous malformation (24551003)
 
HPO: HP:0100026

Definition

An anomalous configuration of blood vessels that shunts arterial blood directly into veins without passing through the capillaries. [from HPO]

Conditions with this feature

Capillary malformation-arteriovenous malformation 1
MedGen UID:
1648501
Concept ID:
C4747394
Disease or Syndrome
Capillary malformation-arteriovenous malformation (CM-AVM) syndrome is characterized by the presence of multiple small (1-2 cm in diameter) capillary malformations mostly localized on the face and limbs. Some affected individuals also have associated arteriovenous malformations (AVMs) and/or arteriovenous fistulas (AFVs), fast-flow vascular anomalies that typically arise in the skin, muscle, bone, spine, and brain; life-threatening complications of these lesions can include bleeding, congestive heart failure, and/or neurologic consequences. Symptoms from intracranial AVMs/AVFs appear to occur early in life. Several individuals have Parkes Weber syndrome (multiple micro-AVFs associated with a cutaneous capillary stain and excessive soft-tissue and skeletal growth of an affected limb).

Professional guidelines

PubMed

Tjoumakaris SI, Hanel R, Mocco J, Ali-Aziz Sultan M, Froehler M, Lieber BB, Coon A, Tateshima S, Altschul DJ, Narayanan S, El Naamani K, Taussky P, Hoh BL, Meyers P, Gounis MJ, Liebeskind DS, Volovici V, Toth G, Arthur A, Wakhloo AK; ARISE I Consortium
Stroke 2024 May;55(5):1428-1437. Epub 2024 Apr 22 doi: 10.1161/STROKEAHA.123.046208. PMID: 38648283
Samaniego EA, Dabus G, Meyers PM, Kan PT, Frösen J, Lanzino G, Welch BG, Volovici V, Gonzalez F, Fifi J, Charbel FT, Hoh BL, Khalessi A, Marks MP, Berenstein A, Pereira VM, Bain M, Colby GP, Narayanan S, Tateshima S, Siddiqui AH, Wakhloo AK, Arthur AS, Lawton MT; ARISE I Consortium
Stroke 2024 May;55(5):1449-1463. Epub 2024 Apr 22 doi: 10.1161/STROKEAHA.124.046725. PMID: 38648282
Rosen A, Chan WV, Matelski J, Walsh C, Murji A
Fertil Steril 2021 Oct;116(4):1107-1116. Epub 2021 Jun 12 doi: 10.1016/j.fertnstert.2021.05.095. PMID: 34130801

Recent clinical studies

Etiology

Auricchio AM, Calvanese F, Pohjola A, Laakso A, Niemelä M
Neurochirurgie 2024 Mar;70(2):101537. Epub 2024 Feb 6 doi: 10.1016/j.neuchi.2024.101537. PMID: 38324942
Palit A, Inamadar AC
Indian J Dermatol Venereol Leprol 2022 May-Jun;88(4):452-463. doi: 10.25259/IJDVL_799_20. PMID: 35138057
Rutledge C, Cooke DL, Hetts SW, Abla AA
Handb Clin Neurol 2021;176:171-178. doi: 10.1016/B978-0-444-64034-5.00020-1. PMID: 33272394
Tellapuri S, Park HS, Kalva SP
Int J Cardiovasc Imaging 2019 Aug;35(8):1421-1428. Epub 2018 Nov 1 doi: 10.1007/s10554-018-1479-x. PMID: 30386957
Morgan MK
Handb Clin Neurol 2017;143:41-57. doi: 10.1016/B978-0-444-63640-9.00005-9. PMID: 28552157

Diagnosis

Riina HA
J Neurosurg 2019 Dec 1;131(6):1690-1701. doi: 10.3171/2019.8.JNS182678. PMID: 31786544
Szpera-Goździewicz A, Gruca-Stryjak K, Bręborowicz GH, Ropacka-Lesiak M
Ginekol Pol 2018;89(5):276-279. doi: 10.5603/GP.a2018.0047. PMID: 30084480
Patel KH, Kalevar A, McDonald HR, Johnson RN
Retin Cases Brief Rep 2017 Winter;11 Suppl 1:S11-S13. doi: 10.1097/ICB.0000000000000384. PMID: 27533644
Barreau X, Marnat G, Gariel F, Dousset V
Diagn Interv Imaging 2014 Dec;95(12):1175-86. Epub 2014 Nov 24 doi: 10.1016/j.diii.2014.10.004. PMID: 25465120
Chou SC, Shyr YM, Wang SE
J Gastrointest Surg 2013 Jul;17(7):1240-6. Epub 2013 May 2 doi: 10.1007/s11605-013-2217-2. PMID: 23636883

Therapy

Auricchio AM, Calvanese F, Pohjola A, Laakso A, Niemelä M
Neurochirurgie 2024 Mar;70(2):101537. Epub 2024 Feb 6 doi: 10.1016/j.neuchi.2024.101537. PMID: 38324942
Mohr JP, Overbey JR, Hartmann A, Kummer RV, Al-Shahi Salman R, Kim H, van der Worp HB, Parides MK, Stefani MA, Houdart E, Libman R, Pile-Spellman J, Harkness K, Cordonnier C, Moquete E, Biondi A, Klijn CJM, Stapf C, Moskowitz AJ; ARUBA co-investigators
Lancet Neurol 2020 Jul;19(7):573-581. doi: 10.1016/S1474-4422(20)30181-2. PMID: 32562682
Tellapuri S, Park HS, Kalva SP
Int J Cardiovasc Imaging 2019 Aug;35(8):1421-1428. Epub 2018 Nov 1 doi: 10.1007/s10554-018-1479-x. PMID: 30386957
Salem M, Gross BA, Du R, Thomas AJ
J Clin Neurosci 2015 May;22(5):775-8. Epub 2015 Feb 15 doi: 10.1016/j.jocn.2015.01.002. PMID: 25691077
Hsu CC, Kwan GN, Thompson SA, Evans-Barns H, van Driel ML
Cochrane Database Syst Rev 2015 Jan 29;1:CD008017. doi: 10.1002/14651858.CD008017.pub4. PMID: 25634560

Prognosis

Pepper J, Lamin S, Thomas A, Walsh AR, Rodrigues D, Lo WB, Solanki GA
Childs Nerv Syst 2023 Apr;39(4):975-982. Epub 2022 Dec 29 doi: 10.1007/s00381-022-05800-4. PMID: 36580118
Ganz JC
Prog Brain Res 2022;268(1):75-97. Epub 2022 Jan 13 doi: 10.1016/bs.pbr.2021.10.027. PMID: 35074096
Hak JF, Boulouis G, Kerleroux B, Benichi S, Stricker S, Gariel F, Garzelli L, Meyer P, Kossorotoff M, Boddaert N, Vidal V, Girard N, Dangouloff-Ros V, Brunelle F, Fullerton H, Hetts SW, Blauwblomme T, Naggara O
J Neurointerv Surg 2022 Jun;14(6):611-617. Epub 2021 Sep 28 doi: 10.1136/neurintsurg-2021-017777. PMID: 34583986
Rutledge C, Cooke DL, Hetts SW, Abla AA
Handb Clin Neurol 2021;176:171-178. doi: 10.1016/B978-0-444-64034-5.00020-1. PMID: 33272394
Foley LS, Kulungowski AM
Adv Pediatr 2015 Aug;62(1):227-55. doi: 10.1016/j.yapd.2015.04.009. PMID: 26205116

Clinical prediction guides

Stanishevskiy A, Babichev K, Svistov D, Savello A, Abramyan A, Zelenskiy B
J Clin Neurosci 2024 Mar;121:34-41. Epub 2024 Feb 13 doi: 10.1016/j.jocn.2024.02.004. PMID: 38354649
Basilio-Flores JE, Aguilar-Melgar JA, Zevallos CB, Aguirre-Carbajo R, Ortega-Gutierrez S, Pacheco-Fernandez Baca H
Neurosurg Rev 2023 Jan 28;46(1):44. doi: 10.1007/s10143-023-01951-3. PMID: 36708432
Rutledge C, Cooke DL, Hetts SW, Abla AA
Handb Clin Neurol 2021;176:171-178. doi: 10.1016/B978-0-444-64034-5.00020-1. PMID: 33272394
Feghali J, Yang W, Xu R, Liew J, McDougall CG, Caplan JM, Tamargo RJ, Huang J
Stroke 2019 Jul;50(7):1703-1710. Epub 2019 Jun 6 doi: 10.1161/STROKEAHA.119.025054. PMID: 31167618
Patel KH, Kalevar A, McDonald HR, Johnson RN
Retin Cases Brief Rep 2017 Winter;11 Suppl 1:S11-S13. doi: 10.1097/ICB.0000000000000384. PMID: 27533644

Recent systematic reviews

Murphy ES, Sahgal A, Regis J, Levivier M, Fariselli L, Gorgulho A, Ma L, Pollock B, Yomo S, Sheehan J, Paddick I, Suh JH, Saxena A, Ahmed MA, Kotecha R
Neuro Oncol 2025 Feb 10;27(2):517-532. doi: 10.1093/neuonc/noae204. PMID: 39390948Free PMC Article
de Liyis BG, Arini AAIK, Karuniamaya CP, Pramana NAK, Tini K, Widyadharma IPE, Setyopranoto I
J Neurol 2024 May;271(5):2274-2284. Epub 2024 Feb 24 doi: 10.1007/s00415-024-12235-1. PMID: 38396103
Auricchio AM, Calvanese F, Pohjola A, Laakso A, Niemelä M
Neurochirurgie 2024 Mar;70(2):101537. Epub 2024 Feb 6 doi: 10.1016/j.neuchi.2024.101537. PMID: 38324942
Rosen A, Chan WV, Matelski J, Walsh C, Murji A
Fertil Steril 2021 Oct;116(4):1107-1116. Epub 2021 Jun 12 doi: 10.1016/j.fertnstert.2021.05.095. PMID: 34130801
Hsu CC, Kwan GN, Thompson SA, Evans-Barns H, van Driel ML
Cochrane Database Syst Rev 2015 Jan 29;1:CD008017. doi: 10.1002/14651858.CD008017.pub4. PMID: 25634560

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