Naouri Michael, Lorette Gérard, Barbier Charlotte, Zakine Gilbert, Herbreteau Denis
Service de dermatologie, université François-Rabelais Tours, CHU de Tours, 37044 Tours cedex, France.
Presse Med. 2010 Apr;39(4):465-70. doi: 10.1016/j.lpm.2010.01.004. Epub 2010 Mar 4.
Arteriovenous malformations are serious high-flow vascular malformations. Four progressive stages have been described: dormancy, expansion, destruction and heart failure. Progression from one stage to another is not systematic but depends on events - physiological or traumatic, sometimes iatrogenic. Pulsed Doppler imaging of venous waveforms and magnetic resonance imaging (MRI) are the most informative examinations for both diagnosis and follow-up of arteriovenous malformations.Arteriography and angio-MRI help guide treatment decisions. Treatment of the malformation must not be envisioned until it reaches a symptomatic stage. It most often combines an endovascular procedures and wide surgical excision. A syndromic form must be considered in cases of systemic angioma.