Treatment of Pulmonary Arteriovenous Malformations w/ Dr. Theresa Caridi | BackTable Podcast Ep. 107

Dr. Theresa Caridi, Section Chief of Interventional Radiology at UAB School of Medicine, discusses the pathophysiology and treatment of Pulmonary AVM's, as well as the importance of multidisciplinary management of patients with Hereditary Hemorrhagic Telangiectasia (HHT).
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SHOW NOTES
In this episode, Dr. Theresa Caridi joins Dr. Christopher Beck to discuss management and treatment of pulmonary arterial venous malformations (AVMs). We explain what pulmonary AVMs are, why they can be dangerous, and how patients are referred to Hereditary Hemorrhagic Telangiectasia (HHT) Centers of Excellence. We discuss the clinical manifestations of HHT and why it is important to screen for HHT when diagnosing a patient with a pulmonary AVM.
Dr. Caridi tells us about the imaging and how to plan treatments for different types of pulmonary AVM patients. We review the pre-procedural steps and the intricacies of using anesthesia for PAVM treatment. We discuss catheters, access sites, and how to get the images needed. Dr. Caridi shares her advice on working closely to the feeding artery and some of the challenges when using coils.
We discuss what care looks like post-procedure and when to follow up patients. We talk about some of the common side effects that occur after pulmonary AVM treatment. We explain how to decide the number of lesions to treat at one time, and Dr. Caridi gives some advice for those who do not work at an HHT Center of Excellence, but want to perform this procedure.
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RESOURCES
Image Guided Interventions: Expert Radiology Series (IR Textbook by Matthew A. Mauro)
www.elsevier.c...
www.amazon.com...
PAVM Embolization: An Update
www.ajronline....
Treated pulmonary arteriovenous malformations: patterns of persistence and associated retreatment success
pubmed.ncbi.nl...
Medtronic Peripheral Embolization Products
www.medtronic....
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The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets.
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[@gthomas1727]

I just find out recently I have p AVM . I have no symptoms at all . It was accidental findings. It scares me to death to think about it. I have tested negative for the hot test. This video is very educational and comforting. Thank you for the video

[@farahyasmin1790]

I find out the same, last year. My PAVM is in my left lung - a complete incidental find. Booked in for a embolisation next month. So anxious.

[@colettejenkins4701]

​@@farahyasmin1790 same story with me. How are you after procedure? Any advise?

[@farahyasmin1790]

@@colettejenkins4701 hey Colette, I hope you’re well. Honestly it was way better than expected. The procedure took a good few hours. Was a weird sensation (not painful at all) just being awake and feeling slight movements inside my chest. But after I felt completely normal, I didn’t drive for a week and just took it easy. Are you booked in for an embolisation?

[@seemarajput6354]

My 1 year old daughetrs whole lung is defected due to AVM , dr. Said for lung transplant ... For now they do RPA banding surgery ... Is there any other option ? Lung transplant is very risky surgery .. pls help is you have any other option