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Episode 107

Treatment of Pulmonary Arteriovenous Malformations

with Dr. Theresa Caridi and Dr. Christopher Beck

BackTable, LLC (Producer). (2021, January 25). Ep. 107 – Treatment of Pulmonary Arteriovenous Malformations [Audio podcast]. Retrieved from https://www.backtable.com/podcasts

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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Podcast Participants

Dr. Theresa Caridi

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).

Dr. Christopher Beck

Host Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

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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.


RESOURCES MENTIONED:

Image Guided Interventions: Expert Radiology Series (IR Textbook by Matthew A. Mauro)
https://www.elsevier.com/books/image-guided-interventions/mauro/978-0-323-61204-3
https://www.amazon.com/Image-Guided-Interventions-Matthew-Mauro-FACR/dp/0323612040/ref=sr_1_1?dchild=1&keywords=Image-Guided+Interventions%3A+Expert+Radiology+Series&qid=1612320492&s=books&sr=1-1

PAVM Embolization: An Update
https://www.ajronline.org/doi/10.2214/AJR.10.5230

Treated pulmonary arteriovenous malformations: patterns of persistence and associated retreatment success
https://pubmed.ncbi.nlm.nih.gov/23912618/

Medtronic Peripheral Embolization Products
https://www.medtronic.com/us-en/healthcare-professionals/products/cardiovascular/peripheral-embolization.html

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Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

 
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