Vascular Malformations in the thigh and lower extremities
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Vascular malformations would require detailed evaluation and planning to remove of them. It is possible through multiple approaches such as endovascular, operative vascular and plastic surgical reconstructions after excisions.
It involves repeated, investigations and multiple visits to the hospital, blood transfusions. Surigcal excision after a previous failed attempt is much more difficult due to the adhesions and neovascularization. This is the photograph of such patient with a large thigh AVM with aneurysmal component of the AV communication. The cost of management in such cases will be always more than what is expected by a common man. Adequate planning for the finances and explaining the patients about the risks including the limb loss is essential part of the treatment.

Pinjala R K

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