Conservative management of an inoperable arteriovenous malformation

Arteriovenous malformations (AVM) are potentially life-threatening congenital vascular defects in which arteries and veins are directly associated. About half present in the craniofacial region,1 more than half with intracranial haemorrhage.2 After haemorrhage the risk of serious morbidity and mortality is 30% - 35%, and the mortality after the first, second and third haemorrhages are 10%, 15%, and 20%, respectively.3 Conservative management to prevent wound breakdown and further haemorrhage has the potential to reduce morbidity and extend life expectancy.

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