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Arteriovenous malformation
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== Treatment == [[Cerebral arteriovenous malformation#Treatment|Treatment for AVMs in the brain]] can be symptomatic, and patients should be followed by a neurologist for any seizures, headaches, or focal neurologic deficits. AVM-specific treatment may also involve [[Interventional neuroradiology|endovascular embolization]], neurosurgery or radiosurgery.<ref name=NINDS/> Embolization, that is, cutting off the blood supply to the AVM with coils, particles, acrylates, or polymers introduced by a radiographically guided catheter, may be used in addition to neurosurgery or radiosurgery, but is rarely successful in isolation except in smaller AVMs.<ref>{{Cite journal|last1=Jafar|first1=Jafar J.|last2=Davis|first2=Adam J.|last3=Berenstein|first3=Alejandro|last4=Choi|first4=In Sup|last5=Kupersmith|first5=Mark J.|date=1993-01-01|title=The effect of embolization with N-butyl cyanoacrylate prior to surgical resection of cerebral arteriovenous malformations|journal=Journal of Neurosurgery|volume=78|issue=1|pages=60β69|doi=10.3171/jns.1993.78.1.0060|pmid=8416244|issn=0022-3085}}</ref> A [[gamma knife]] may also be used.<ref>{{cite web |url=http://www.muh.org.au/ServicesSpecialties/GammaKnife/ForPatients/ConditionsWeTreat.aspx |archive-url=https://web.archive.org/web/20130613164614/http://www.muh.org.au/ServicesSpecialties/GammaKnife/ForPatients/ConditionsWeTreat.aspx |archive-date=2013-06-13 |title=Conditions We Treat |publisher=Macquarie University Hospital }}</ref> If a cerebral AVM is detected before a stroke occurs, usually the arteries feeding blood into the nidus can be closed off to avert the danger.<ref>{{Cite web |title=Arteriovenous Malformations |url=https://lsom.uthscsa.edu/neurosurgery/clinical-practice/arteriovenous-malformations/ |access-date=2023-06-26 |website=Neurosurgery |language=en-US}}</ref> Interventional therapy may be relatively risky in the short term.<ref name="aruba02">{{cite web |date=January 29, 2014 |title=A Randomized Trial of Unruptured Brain Arteriovenous Malformations (ARUBA) |url=http://www.ninds.nih.gov/news_and_events/news_articles/ARUBA_trial_results.htm |archive-url=https://web.archive.org/web/20160704222521/http://www.ninds.nih.gov/news_and_events/news_articles/ARUBA_trial_results.htm |archive-date=2016-07-04 |access-date=2023-03-06 |website=[[National Institute of Neurological Disorders and Stroke]]}}</ref> Treatment of lung AVMs is typically performed with endovascular embolization alone, which is considered the standard of care.<ref name="dupeRef1" />
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