Vascular Malformations of the Limbs: Treatment of Venous and Arteriovenous Malformations

Mattassi, Raul

doi:10.1007/978-88-470-5673-2_48

Cited by 4 publications

(2 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Extratruncular defects are more or less extended masses of dysplastic vessels, which may be also formed by a combi-nation of two types of defects, like venous and lymphatic dysplasias. Moreover, these masses may be formed also by extensive fat or fibrous tissue which may even be 90 % of the whole malformation (4,5).…”

Section: Classificationmentioning

confidence: 99%

Role of sclerotherapy in vascular malformations

Mattassi¹

2017

Phlebologie

View full text Add to dashboard Cite

SummaryCongenital vascular malformations (CVM) are a heterogeneous group of vessels defects that include venous, lymphatic, arteriovenous and combined anomalies. CVM may be located in every part of the body with great variability. A precise diagnostic process is required to get complete information about the anomaly prior to decide treatment between different options: surgery, sclerotherapy, embolization and laser. Sclerotherapy has a role in each type of CVM. However, correct indication, selection of the best sclerosing agent, and knowledge of technical skills in CVM are required for a good result. In venous malformations, ethanol is the most effective sclerosing agent but experience in management is required. Lymphatic malformations, mainly in the macrocystic form, can be treated easily with different substances. The nidus of arteriovenous malformations can be occluded by alcohol sclerosis. However, because of the high hemodynamic of AVM, treatment may be difficult; a good sclerosing technique is necessary to avoid complications and to get good results, which are always possible.

show abstract

Section: Classificationmentioning

confidence: 99%

Role of sclerotherapy in vascular malformations

Mattassi¹

2017

Phlebologie

View full text Add to dashboard Cite

show abstract

“…There are a multitude of treatment options, including symptomatic management, compression garments, injection sclerotherapy, and surgical removal. 3 On the less severe end of the spectrum, many small, minimally symptomatic lesions can be treated with observation and occasional symptomatic relief. For larger, symptomatic lesions, there is little evidence for the superiority of a single modality.…”

mentioning

confidence: 99%

Wide Resection for Pediatric Extremity Vascular Malformation—A Tertiary Hospital’s Experience

Wong,

Tan,

Chan

et al. 2023

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Background: Vascular malformations of the extremities (VM) are common benign lesions that tend to grow throughout the patient’s lifetime. They can cause various issues like pain, swelling, and even limb length discrepancies. Sclerotherapy was the preferred treatment choice in previous studies. However, sclerotherapy and many other treatments have the potential to result in higher recurrence rates. Surgical treatment has been shown to be effective and safe in many cases. Hence, this study aims to evaluate the suitability of wide resection surgery for VM to reduce recurrence. Methods: Fort-seven VM cases that underwent wide resection were identified retrospectively in the institution of study. Demographics, depth of malformation, whether malformations were local or diffuse, location and size of malformations, and histology records were taken note of. Records of recurrence and postoperative function were also gathered. We utilized self-reported questionnaires, QuickDASH and Lower Extremity Functional Scale, to determine patients’ postsurgical physical function. Results: Out of 47 cases that underwent wide resection, we found a recurrence rate of 2.1%. No patients sustained any loss of function postsurgery, with few patients experiencing minor complications like tenderness, hypertrophic scars/keloids, as well as numbness. Good functionality posttreatment was also seen through self-reported questionnaires, with an average score of 2.12 for QuickDASH and 99.96% for LEFS. Conclusion: Where margins can be obtained without functional impairment, surgical-wide resection for VM is a viable treatment option to minimize recurrence. Level of Evidence: Level—IV.

show abstract

Surgical Treatment of Low-Flow CVM

Mattassi

2017

Congenital Vascular Malformations

View full text Add to dashboard Cite

Vascular Malformations of the Limbs: Treatment of Venous and Arteriovenous Malformations

Cited by 4 publications

References 32 publications

Role of sclerotherapy in vascular malformations

Role of sclerotherapy in vascular malformations

Wide Resection for Pediatric Extremity Vascular Malformation—A Tertiary Hospital’s Experience

Surgical Treatment of Low-Flow CVM

Contact Info

Product

Resources

About