Author Topic: coil eradication of PAVMs  (Read 2905 times)

Offline charlyn

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coil eradication of PAVMs
« on: November 11, 2006, 02:19:44 AM »
I have just had a second craniotomy for brain abscess. My first was a year ago. My husband has contacted the HHT center in St. Louis, hoping to have my right lung's AVMs eradicated with the coil treatment. I am hoping that someone who has had this done will share their experience with me because it sounds pretty scary to this brain-challenged patient. I'm told it took about nine months last year for me to regain completely my intellectual function. My father died of HHT (bled out from colon after years of fighting it) as did his mother and others in his family. Thanks to all responsible for the HHT sites. We would not have known about the HHT centers without the benefit of the former site. Since that knowledge may lead to my own solution, please continue to spread that info. One more brain surgery and I'll have to start a 12 step group!!
Blessings to all,
charlyn dumm, la grange, ky, usa

Offline wendy

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Re: coil eradication of PAVMs
« Reply #1 on: December 09, 2006, 09:11:32 PM »
Hello to you, Just thought I would mention there is a letter in UK  Press - Daily Mirror today about a man with an AVM who has had to fund his own operation!  Anyway I thought you might like to  know about this, you might be able to read it on the papers website.
Best wishes to you.

Offline jmfw

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Re: coil eradication of PAVMs
« Reply #2 on: December 11, 2006, 11:13:25 AM »
Hello to all!  I guess I knew many years ago because of the spots on my fingers, toes, lips and tongue as well as LOTS of nosebleeds that I had HHT after reading about it on the web.  I've been blessed with a great dermatologist who uses a laser that has basically eliminated all the spots and bleeding on my lips and most on fingers and toes.  I don't have my tongue done unless necessary because that's one spot that can really hurt!  Because of the new laser the other areas don't really hurt when treated but the results are so much better than the old lasers.
I've had surgery on my nose because of the bleeds.  It helped for a while but they came back rather soon.  I do use Afrin on a kleenex, saturate the kleenex really well and then stick it up my nose (ugh! >:() on the bleeding side which helps to stop the bleeding faster.  Because of the nosebleeds my ENT sent me to Mayo Clinic in Rochester to have a complete workup.
I was shocked when the tests showed my liver was full of telangeiectasias and my lung had a very large PAVM.  They used 11 coils in a surgery the next day.  I never had any coughing up of blood or shortness of breath prior to the surgery so I didn't even know I had this!  The surgery was easy-I was awake and just did the breathing they told me so that they could place the coils.  They gave me some kind of "happy juice" so that there was no pain.  I'm home now and was told to take it easy for 30 days and then I have to go back in 90 days for another check up.  After that they said it would be necessary to come back every year for repeated scans and treatment as necessary.  Need to eliminate alcohol to keep the liver in as good a condition as possible.
Of course now I want to have my 20 and 16 year old sons checked out as well as my 5 brothers and 2 sisters----none have shown any of the signs of HHT which is really surprising based on what I've read.
I really want to get back to normal life and being able to do physical exercise withouth working about the PAVM.  Would love to talk/share with anyone else out there!

Offline wendy

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Re: coil eradication of PAVMs
« Reply #3 on: December 11, 2006, 06:01:36 PM »
It does seem to me that unless and until people have signs or symptoms nothing gets checked out even when there is known HHT in the family. Although my three teenagers have seen a geneticist no-one has suggested any screening for AVMs. The geneticist just told us that because of HHT in their father and grandfather they all have 50/50 chance of inheriting the condition themselves. My kids dad is one of four now grownup adults and he is the only one that has been diagnosed as having HHT. Its difficult to know whether it is better to just wait and see or whether to push for screening and know?  What does everyone else think? 

Offline Tracey

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Re: coil eradication of PAVMs
« Reply #4 on: January 19, 2007, 11:53:44 PM »
I found reading the messages on this board, really interesting.  I have been reading up on HHT recently and learning loads.  My GP knows absoutely nothing, except from the fact that I bleed lots.

I have a pretty good consultant in the ENT dept, but as far as the PAVMs are concerned, he says that there is no need to go looking for trouble.  I find that a little worrying especially after reading a couple of posts ago from jmfw that there had been no signs and they found trouble with liver and lungs.

Does anyone else have any experinces as far as PAVMs are concerned?

Tracey
Tracey :-)

Offline Matt

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Re: coil eradication of PAVMs
« Reply #5 on: January 23, 2007, 04:29:44 PM »
I know what you mean about your GP, mine was the same. In fact it was by accident that it was found out that I have HHT - I was kept in after a bleed (srangely enough, not related to my nose or anything), and they found that I was low on oxygen. After plenty more tests they realised I had HHT.

However it is still a specialised area and not many Doctors are aware of it.

Offline charlyn

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Re: coil eradication of PAVMs/ Reply to Tracy.
« Reply #6 on: February 18, 2007, 09:05:15 AM »
" have a pretty good ENT,  but as far as the PAMVs are concerned, he says that there is no need to go looking for trouble." Reading that gave me sinister chuckle. I wish to heaven anyone had gone "looking for trouble" before trouble found me. Immediately after the PAVM treatment on Nov. 30 in St. Louis, I ditched my inhalers and all my asthma medication. I didn't have a moment of pain. I have many little avms which will be scanned for the rest of my life, I guess, because these little fish grow up to be big trouble making sharks. I definitely should have been scanned after the first brain infection, but no one knew to do that because the docs are learning, as am I. I will return to St. Louis in March to see how the baby lung AVMs are doing. I'm giving up brain surgery for Lent, so it's extra important to stay on top of this. We have to forgive our docs because this is a new area for them; it is up to us to keep them in the know. Blessings to all and  keep us posted re the new site.
Charlyn

Offline tnusa

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Re: coil eradication of PAVMs
« Reply #7 on: March 14, 2007, 12:09:39 PM »
Hello all.  I have a question about the PAVMs. My daughter has had to go through the embolization procedure 4 times already. The doctors are able to plug the AVMs and she feels great for a few weeks to a few months and then another one will open up. Her oxygen level decreases and she gets short of breath. A CT is performed and a new AVM shows up. Has anyone else had this happen where plugging one up causes another to open up?

Offline Tracey

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Re: coil eradication of PAVMs/ Reply to Tracy.
« Reply #8 on: March 19, 2007, 07:59:02 PM »
" have a pretty good ENT,  but as far as the PAMVs are concerned, he says that there is no need to go looking for trouble." Reading that gave me sinister chuckle. I wish to heaven anyone had gone "looking for trouble" before trouble found me. Immediately after the PAVM treatment on Nov. 30 in St. Louis, I ditched my inhalers and all my asthma medication. I didn't have a moment of pain. I have many little avms which will be scanned for the rest of my life, I guess, because these little fish grow up to be big trouble making sharks. I definitely should have been scanned after the first brain infection, but no one knew to do that because the docs are learning, as am I. I will return to St. Louis in March to see how the baby lung AVMs are doing. I'm giving up brain surgery for Lent, so it's extra important to stay on top of this. We have to forgive our docs because this is a new area for them; it is up to us to keep them in the know. Blessings to all and  keep us posted re the new site.
Charlyn

Hy Charlyn,   :)
My ENT consultant is still a little unprepared to go looking for this trouble.  He feels that if he starts tampering with what is "more than likely to be inside" then it would just end up taking over my life ...  ;D  .. as if it hasn't already!!!!!!!!!!!! 

Really wanted to know whay type of scan it is that you have to find these little bleeders, before it is too late!  ::)

Tracey  ;)


Tracey :-)

Offline philbarto

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Re: coil eradication of PAVMs
« Reply #9 on: March 20, 2007, 08:58:59 PM »
I dont know much about avm apart from I am going to have one done in the near future and I dont know wether it will bring on the appearance of anothe one but my own experience of HHT is Ihad my right nostril closed off to prevent severe nosebleeds it worked but then the left nostril started to bleed heavily as though it had taken over so I had that nostril closed as well then I started to bleed from a loose left upper tooth I had that treated now I bleed from the other side of the roof of my mouth and I am to have lazer treatment for that in July what next itdoes appear to sprout up somewhere else but I know of people who have only had one AVM done and then aggain I know of people having several so it seems like a minefield where we have to put up with what we have and its treatment. I dont know if they are life threatening but there are a number of people on this forum well into their seventies so I wouldnt dwell on it too much.
best regards    Phil

Offline terry

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Re: coil eradication of PAVMs
« Reply #10 on: April 21, 2007, 04:03:32 PM »
No, I had my lung AVMs done in 2003/4, as did my two daughters, but neither of us have had new ones open up - we were last checked in Nov 2006.

Terry.

Offline dummchar

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3rd brain abscess
« Reply #11 on: December 14, 2009, 03:13:56 PM »
This one really took me by surprise because I didn't have headaches.  I briefly lost the use of my left arm which was devastating because I'm a pianist.  I'm getting REALLY tired of brain surgery. The encapsulation apparently didn't hold this time because the surgeon said my brain was filled with pus.  we're all pretty confused because we thought the PAVMs were the cause.  Infectious disease Dr. says it's the same microbe as before (streptococcus medium) plus a couple of others.  I'm wondering what the record for number of brain abscesses is and whether there's a prize.

Offline Matt

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Re: coil eradication of PAVMs
« Reply #12 on: December 16, 2009, 04:04:45 PM »
Sorry to hear that, sounds pretty scary :(

Offline philbarto

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Re: coil eradication of PAVMs
« Reply #13 on: December 17, 2009, 02:22:16 PM »
i had my brain avm treat by stereotactic radio surgery a year ago  where they zap it with gamma rays and destroy the avm it is supposed to be fully successful in two years timefrom when i had it done  so i will let you know then
regards   phil