What primary and secondary stroke prevention strategies do you use for patients with a pulmonary AVM (PAVM)?

This is not a common problem in stroke neurology. I have been involved in this problem for a patient with HHT (also known as Osler-Weber-Rendu syndrome). Sporadic or post-surgical AVMs may also arise but they are uncommon. In general, the treatment in both scenarios (primary and secondary prevention) is obliteration of the AVM using endovascular techniques. Sometimes the AVM needs to be treated for cardiopulmonary reasons as well (shunting producing hypoxia), in which case any benefit in stroke ...