Zusammenfassung
Die venöse Malformation gehört zu den häufigsten angeborenen Gefäßmalformationen. Das klinische Erscheinungsbild ist sehr variabel und die Abgrenzung zu anderen Gefäßanomalien ist therapieentscheidend. Genaue Kenntnisse über anerkannte Klassifikationssysteme sind daher erforderlich. Der folgende Artikel befasst sich mit den Stärken und Schwächen gängiger Klassifikationssysteme für Gefäßmalformationen und im Speziellen mit der Klassifikation von venösen Malformationen (VM).
Abstract
Venous malformations are one of the most common types of congenital vascular malformations. The clinical manifestation is highly variable and their differentiation from other vascular anomalies is relevant for therapy decisions. Hence, accurate knowledge of recognized classifications is mandatory. The following article focuses on the strengths and weaknesses of the current classification systems for vascular malformations, particularly the classification of venous malformations.
Literatur
Ahlawat S, Fayad LM, Durand DJ et al (2017) International society for the study of vascular anomalies classification of soft tissue vascular anomalies: survey-based assessment of musculoskeletal radiologists’ use in clinical practice. Curr Probl Diagn Radiol. https://doi.org/10.1067/j.cpradiol.2017.10.003
Belov S (1990) Classification of congenital vascular defects. Int Angiol 9:141–146
Berber O, Holt P, Hinchliffe R et al (2010) Endovenous therapy for the treatment of congenital venous malformations. Ann Vasc Surg 24(415):e413–e417
Boon LM, Ballieux F, Vikkula M (2011) Pathogenesis of vascular anomalies. Clin Plast Surg 38:7–19
Burrows PE, Mulliken JB, Fellows KE et al (1983) Childhood hemangiomas and vascular malformations: angiographic differentiation. AJR Am J Roentgenol 141:483–488
Dubois J, Soulez G, Oliva VL et al (2001) Soft-tissue venous malformations in adult patients: imaging and therapeutic issues. Radiographics 21:1519–1531
Eifert S, Villavicencio JL, Kao TC et al (2000) Prevalence of deep venous anomalies in congenital vascular malformations of venous predominance. J Vasc Surg 31:462–471
Fayad LM, Hazirolan T, Bluemke D et al (2006) Vascular malformations in the extremities: emphasis on MR imaging features that guide treatment options. Skeletal Radiol 35:127–137
Goyal M, Causer PA, Armstrong D (2002) Venous vascular malformations in pediatric patients: comparison of results of alcohol sclerotherapy with proposed MR imaging classification. Radiology 223:639–644
Hammer S, Uller W, Manger F et al (2017) Time-resolved magnetic resonance angiography (MRA) at 3.0 T for evaluation of hemodynamic characteristics of vascular malformations: description of distinct subgroups. Eur Radiol 27:296–305
Jin Y, Lin X, Li W et al (2008) Sclerotherapy after embolization of draining vein: a safe treatment method for venous malformations. J Vasc Surg 47:1292–1299
Lee BB, Baumgartner I, Berlien P et al (2015) Guideline. Diagnosis and treatment of venous malformations. consensus document of the international union of phlebology (IUP): updated-2013. Int Angiol 34:97–149
Legiehn GM, Heran MK (2010) A step-by-step practical approach to imaging diagnosis and Interventional radiologic therapy in vascular malformations. Semin Intervent Radiol 27:209–231
Mulliken JB, Glowacki J (1982) Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 69:412–422
Patel PA, Barnacle AM, Stuart S et al (2017) Endovenous laser ablation therapy in children: applications and outcomes. Pediatr Radiol 47:1353–1363
Puig S, Aref H, Chigot V et al (2003) Classification of venous malformations in children and implications for sclerotherapy. Pediatr Radiol 33:99–103
Ranieri M, Wohlgemuth W, Muller-Wille R et al (2017) Vascular malformations of upper and lower extremity—from radiological interventional therapy to surgical soft tissue reconstruction—an interdisciplinary treatment. Clin Hemorheol Microcirc 67(3–4):355–372
Sadick M, Wohlgemuth WA, Huelse R et al (2017) Interdisciplinary management of head and neck vascular anomalies: clinical presentation, diagnostic findings and minimalinvasive therapies. European J Radiol Open 4:63–68
Soblet J, Limaye N, Uebelhoer M et al (2013) Variable somatic TIE2 mutations in half of sporadic venous malformations. Mol Syndromol 4:179–183
Teusch VI, Wohlgemuth WA, Hammer S et al (2017) Ethanol-gel sclerotherapy of venous malformations: effectiveness and safety. AJR Am J Roentgenol 209(6):1390–1395
Teusch VI, Wohlgemuth WA, Piehler AP et al (2014) Color-coded perfusion analysis of CEUS for pre-interventional diagnosis of microvascularisation in cases of vascular malformations. Clin Hemorheol Microcirc 58:183–193
Wassef M, Blei F, Adams D et al (2015) Vascular anomalies classification: recommendations from the international society for the study of vascular anomalies. Pediatrics 136:e203–e214
Weitz-Tuoretmaa A, Keski-Nisula L, Rautio R et al (2017) Quality of life after endovascular sclerotherapy of low-flow venous malformations: the efficacy of polidocanol compared with ethanol. Acta Radiol. https://doi.org/10.1177/0284185117741774
Wohlgemuth WA, Muller-Wille R, Teusch V et al (2017) Ethanolgel sclerotherapy of venous malformations improves health-related quality-of-life in adults and children—results of a prospective study. Eur Radiol 27:2482–2488
Zhuo KY, Russell S, Wargon O et al (2017) Localised intravascular coagulation complicating venous malformations in children: associations and therapeutic options. J Paediatr Child Health 53:737–741
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Interessenkonflikt
R. Müller-Wille und W.A. Wohlgemuth geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.
Rights and permissions
About this article
Cite this article
Müller-Wille, R., Wohlgemuth, W.A. Klassifikationen für venöse Malformationen – sind sie adäquat?. Gefässchirurgie 23, 496–501 (2018). https://doi.org/10.1007/s00772-018-0458-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00772-018-0458-9