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External beam radiotherapy in the treatment of extensive vascular malformation of the lower extremity refractory to surgery and interventional embolisation therapy

Published online by Cambridge University Press:  01 September 2009

Mark Trombetta ,
Jonathan Potts ,
Vladimir Valakh ,
E. Day Werts ,
Elmer Nahum  and
David Parda
Mark Trombetta
Affiliation:
Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
Jonathan Potts
Affiliation:
Department of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
Vladimir Valakh
Affiliation:
Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA
E. Day Werts
Affiliation:
Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
Elmer Nahum
Affiliation:
Department of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
David Parda
Affiliation:
Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA Drexel University College of Medicine, Allegheny Campus, Pittsburgh, PA, USA
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Abstract

This patient case-study represents the introduction of radiotherapy in the management of extra-cranial vascular malformations, a topic with virtually no supported literature before our case study. In those patients refractory to established therapies and facing the inevitability of mutilating amputation, radiotherapy may be a viable option to preserve the limb.

Keywords

Arterio-vascular malformationradiationAVMembolisation
Type
Case Report
Information
Journal of Radiotherapy in Practice , Volume 8 , Issue 3 , September 2009 , pp. 157 - 162
Copyright
Copyright © Cambridge University Press 2009

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References

Baskaya, MK, Jea, A, Heros, RC et al. Cerebral arteriovenous malformations. Clin Neurosurg 2006; 53: 114–144.Google ScholarPubMed
Kelly, ME, Guzman, R, Sinclair, J et al. Multimodality treatment of posterior fossa arteriovenous malformations. J Neurosurg 2008; 108 (6): 1152–1161.CrossRefGoogle ScholarPubMed
Jones, J, Jang, S, Getch, CC et al. Advances in the radiosurgical treatment of large inoperable arteriovenous malformations. Neurosurg Focus 2007; 23 (6): E7.CrossRefGoogle ScholarPubMed
Hartmann, A, Mast, H, Choi, JH et al. Treatment of arteriovenous malformations of the brain. Curr Neurol Neurosci Rep 2007; 7 (1): 28–34.Google Scholar
Starke, RM, Komotar, RJ, Hwang, BY et al. A comprehensive review of radiosurgery for cerebral arteriovenous malformations: outcomes, predictive factors, and grading scales. Stereotact Funct Neurosurg 2008; 86 (3): 191–199.CrossRefGoogle ScholarPubMed
Seccia, A, Salgarello, M, Farallo, E et al. Combined radiological and surgical treatment of arteriovenous malformations of the head and neck. Ann Plast Surg 1999; 43 (4): 359–366.Google Scholar
Kohout, MP, Hansen, M, Pribaz, JJ et al. Arteriovenous malformations of the head and neck: natural history and management. Plast Reconstr Surg 1998; 102 (3): 643–654.CrossRefGoogle ScholarPubMed
Donaldson, SS, McDougall, IR. Grave's disease. Radiotherapy of intraocular and orbital tumors. In: Alberti, WE, Sagerman, RH (eds). Radiotherapy of Intraocular and Orbital Tumors. 2nd edition. Berlin: Springer, pp 145–152, 2002.Google Scholar
Habrand, J, Ganry, O, Coanet, D et al. The role of radiation therapy in the management of craniopharyngioma: a 25 year experience and review of the literature. Int J Radiat Oncol Biol Phys 1999; 44: 255–263.CrossRefGoogle ScholarPubMed
Kamath, S, Parsons, J, Marcus, R. Radiotherapy for local control of aggressive fibriomatosis. Int J Radiat Oncol Biol Phys 1996; 36: 325–328.CrossRefGoogle Scholar
Tripuraneni, P. Coronary artery radiation therapy for the prevention of restenosis after percutaneous coronary angioplasty, II: outcomes of clinical trials. Semin Radiat Oncol 2002; 12: 17–30.Google Scholar
Hida, K, Shirato, H, Seki, T et al. Focal fractionated radiotherapy for intramedullary spinal arteriovenous malformations: 10-year experience. J Neurosurg 2003; 99 (1 Suppl): 34–38.Google Scholar
Sato, M, Kishi, K, Shirai, S et al. Radiation therapy for a massive arteriovenous malformation of the pancreas. Am J Roentgenol 2003; 181 (6): 1627–1628.Google Scholar
Kishi, K, Shirai, S, Sonomura, T et al. Selective conformal radiotherapy for arteriovenous malformation involving the spinal cord. Br J Radiol 2005; 78 (927): 252–254.Google Scholar
Rudman, RA, Clark, WJ. A large vascular malformation of the tongue treated with radiation therapy. J Oral Maxillofac Surg 1997; 55 (5): 509–514.Google Scholar
Steiner, L, Lindquist, C, Steiner, M. Radiosurgery. Adv Tech Stand Neurosurg 1992; 19: 19–102.CrossRefGoogle ScholarPubMed