Changing Concept on Vascular Malformation: No Longer Enigma

Lee, Byung-Boong Bb

doi:10.3400/avd.avdsc00207

Cited by 23 publications

(14 citation statements)

References 30 publications

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“…CVM diagnosis may be given based on non-invasive and minimally invasive procedures, such as: Doppler ultrasonography (colour Doppler (CD) and power Doppler (PD)), whole-body blood pool scintigraphy (WBBPS), transarterial lung perfusion scintigraphy (TLPS) and radionuclide lymphoscintigraphy [7,8]. …”

Section: Resultsmentioning

confidence: 99%

Congenital vascular malformations in scintigraphic evaluation

Pilecki

Gierach

et al. 2014

Pol J Radiol

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SummaryBackgroundCongenital vascular malformations are tumour-like, non-neoplastic lesions caused by disorders of vascular tissue morphogenesis. They are characterised by a normal cell replacement cycle throughout all growth phases and do not undergo spontaneous involution.Here we present a scintigraphic image of familial congenital vascular malformations in two sisters.Material/MethodsA 17-years-old young woman with a history of multiple hospitalisations for foci of vascular anomalies appearing progressively in the upper and lower right limbs, chest wall and spleen. A Parkes Weber syndrome was diagnosed based on the clinical picture. Due to the occurrence of new foci of malformations, a whole-body scintigraphic examination was performed.A 12-years-old girl reported a lump in the right lower limb present for approximately 2 years, which was clinically identified as a vascular lesion in the area of calcaneus and talus. Phleboscintigraphy visualized normal radiomarker outflow from the feet via the deep venous system, also observed in the superficial venous system once the tourniquets were released. In static and whole-body examinations vascular malformations were visualised in the area of the medial cuneiform, navicular and talus bones of the left foot, as well as in the projection of right calcaneus and above the right talocrural joint.ConclusionsPeople with undiagnosed disorders related to the presence of vascular malformations should undergo periodic follow-up to identify lesions that may be the cause of potentially serious complications and to assess the results of treatment. Presented scintigraphic methods may be used for both diagnosing and monitoring of disease progression.

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Section: Resultsmentioning

confidence: 99%

Congenital vascular malformations in scintigraphic evaluation

Pilecki

Gierach

et al. 2014

Pol J Radiol

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“…AVMs present at birth deteriorate slowly with age. 3) With regard to surgical treatment, Eifert et al reported that anomalies of the deep vein system occur in almost half of venous malformations; phlebectasias occur in over one-third of cases, and aplasia/hypoplasia occurs in less than 10%. 4) Excision of the enlarged superficial compensatory varices may be deleterious if there is aplasia or hypoplasia of deep vein system trunks.…”

Section: Discussionmentioning

confidence: 99%

“…1,2) Not only the prognosis, but also the treatment methods for vascular malformations vary according to the particular lesions of each patient. 3) We report a woman with extended lesions of arteriovenous malformation (AVM) in the entire left lower extremity and the interior of the pelvis, associated with serious consumptive coagulopathy, who has been successfully followed up for 17 years with favorable control achieved by conservative methods, including compression and anticoagulation therapies.…”

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confidence: 99%

Conservative Therapy for Surgically Untreatable Extensive Arteriovenous Malformation from the Lower Extremityto the Pelvis with Secondary Consumptive Coagulopathy

Watanabe

Iwahashi

Saiki

et al. 2011

Annals of Vascular Diseases

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We present a woman with surgically untreatable extended arteriovenous malformations (AVM) and consumptive coagulopathy, which had been controlled by conservative compression and anticoagulation therapies for 17 years. At age 13, she was diagnosed with extended AVM in the entire left leg and pelvis. At age 16, limited surgical resection of the enlarged superficial vein in the left calf was performed for persistent leg pain. One year later, anticoagulation therapy was performed for massive bleeding from hemorrhoids due to AVM and coagulopathy. Despite its intractability, her condition has been favorably controlled with conservative methods, including compression and anticoagulation therapies.

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“…Klippel and Trenaunay syndrome; F.P. Weber syndrome; Servelle and Martorell syndrome; Hippel and Lindau syndrome; Sturge-Weber-Krabbe syndrome) [5][6][7][8].…”

Section: Introductionmentioning

confidence: 98%