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migration"],"pain":"Done under anesthesia. Mild to moderate pain at the treated area or access site is common, with headache after cerebral treatment, controlled by standard analgesics; pain and swelling may last several days.","preparation":["Review angiography, MRI/CT or ultrasound imaging to plan approach","Pre-procedure blood tests including kidney function and coagulation","Fasting before general anesthesia as instructed by the anesthesia team","Review medications, allergies and prior contrast reactions with the team","Arrange transport and an adult companion after discharge"],"recovery_timeline":[{"phase":"First 24 hours","description":"Monitoring in hospital with access-site and neurological or limb checks; bed rest for a few hours.","restrictions":["Keep the access limb straight as instructed","No driving"]},{"phase":"Days 2-7","description":"Discharge and gradual return to light daily activity; pain and swelling settle.","restrictions":["Avoid heavy lifting and strenuous exertion","Report worsening pain, bleeding, neurological symptoms or fever"]},{"phase":"Weeks 2-4","description":"Return to normal activity and exercise if the course is uncomplicated; follow-up imaging is planned.","restrictions":["Graded return to sport as advised"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery after an uncomplicated single session; longer if there are neurological or local tissue effects."},"result_longevity":"Complete obliteration is usually durable, but recurrence is possible, especially with incomplete treatment or in younger patients. Partial embolization is temporary or palliative and often needs further treatment.","revision_rate_pct":{"min":15,"max":40,"unit":"percent","qualifier":"Repeat embolization or additional treatment for residual or recurrent AVM, excluding planned staged sessions."},"scars":"Percutaneous catheter access leaves only a tiny puncture mark, with no surgical scar. Direct-puncture treatment of superficial lesions leaves a needle mark.","sessions_or_stages":{"sessions":{"min":1,"max":4,"unit":"visits","qualifier":"Complex AVMs are often treated in staged embolization sessions; small lesions may need one."},"stages":[{"code":"embolization_session","label":"Transcatheter embolization session (may be repeated in staged sessions)","after":{"min":0,"max":0,"unit":"days","qualifier":"First session on the day of the procedure; later sessions are scheduled individually."}}],"qualifier":"Counts embolization treatment sessions only, not follow-up imaging."},"success":{"metric":"Complete AVM obliteration by embolization alone","value":20,"unit":"percent of patients","horizon":"Follow-up imaging after treatment, 6-12 months","population":"Adults with selected AVMs treated by transcatheter embolization as standalone therapy","evidence_status":"limited"},"techniques":[{"name":"Transarterial catheter embolization with liquid embolic (for example, n-BCA or ethylene-vinyl alcohol copolymer)","suits_whom":"Most cerebral and many peripheral AVMs with accessible feeding arteries.","recovery":"Usually overnight observation, then return to light activity within days."},{"name":"Direct percutaneous nidus puncture with sclerosant or glue","suits_whom":"Superficial peripheral AVMs, often combined with transarterial or transvenous access.","recovery":"Often brief stay; local swelling and pain for several days."},{"name":"Transvenous embolization","suits_whom":"Selected AVMs with accessible venous outflow where arterial access is unsuitable or the nidus is compact.","recovery":"Similar to transarterial embolization."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Per single embolization session; complex AVMs can take longer."},"initial_assessment_documents":["Brain or lesion MRI/MRA report and images","Digital subtraction angiography images (if available)","CT angiography images (if available)","Neurologist or specialist discharge summaries","Prior embolization or radiosurgery reports (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":4,"one_trip_possible":true,"qualifier":"Small AVMs may need one session with a 3-7 day stay; complex AVMs need staged sessions, often separate trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you can ask the treatment team your questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check how your aftercare will be coordinated after treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Get a second opinion from a doctor on the treatment and whether it is necessary","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision is a warning sign before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Excessive bleeding","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Blood clot symptoms, which include redness or swelling in your groin. Difficulty breathing. Excessive bleeding","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Blood clot symptoms, which include redness or swelling in your groin. Difficulty breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Painful or fast-growing lump near the puncture site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Painful or fast-growing lump near the puncture site.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Redness or swelling in your groin","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Blood clot symptoms, which include redness or swelling in your groin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Fever or warmth near the treatment area","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Signs of infections, such as fever or warmth near the treatment area.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need documentation of medical care received abroad","document":"treatment documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"Home clinicians need medication information for subsequent care","document":"medication list","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer to have the AVM surgically removed","name":"Surgery to remove AVM","source":{"url":"https://my.clevelandclinic.org/health/diseases/16755-arteriovenous-malformation-avm","host":"my.clevelandclinic.org","quote":"Surgery involves making a small cut near the AVM, sealing the surrounding arteries and veins so they don’t bleed, then removing the AVM.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer a treatment that slowly shrinks the AVM","name":"Radiosurgery for AVM","source":{"url":"https://my.clevelandclinic.org/health/diseases/16755-arteriovenous-malformation-avm","host":"my.clevelandclinic.org","quote":"This approach uses highly focused beams of radiation that slowly shrink, scar and dissolve an AVM over a few years or make the AVM easier to remove with surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"transarterial-catheter","name":"Transarterial catheter embolization with liquid embolic (for example, n-BCA or ethylene-vinyl alcohol copolymer)","how_it_works":{"text":"A catheter delivers embolic material that slows AVM blood flow","source":{"url":"https://my.clevelandclinic.org/health/diseases/16755-arteriovenous-malformation-avm","host":"my.clevelandclinic.org","quote":"Once there, they release a glue-like substance, coils or another substance into the AVM, which slows or stops the blood flow through the AVM.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Most people resume daily activities within a week.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"direct-percutaneous-nidus","name":"Direct percutaneous nidus puncture with sclerosant or glue","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"transvenous-embolization","name":"Transvenous embolization","how_it_works":{"text":"A catheter reaches the affected area and closes off the abnormal connection","source":{"url":"https://my.clevelandclinic.org/health/diseases/spinal-arteriovenous-malformation-avm","host":"my.clevelandclinic.org","quote":"A surgeon uses a tiny catheter (a device to reach the affected area from the inside) on the treatment area to stop bleeding, close off a blood vessel or remove an abnormal connection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=embolizacia-arteriovenoznoj-malformacii/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}