Hemangiomas and Vascular Malformations



In this chapter we will review the sonographic morphology of hemangiomas and vascular malformations, the most common cutaneous vascular anomalies. Technical considerations, useful classifications, and percutaneous interventional procedures guided by ultrasound that are frequently performed in vascular lesions are discussed.


Magnetic Resonance Angiography Digital Subtraction Angiography Vascular Malformation Duplex Ultrasound Color Doppler Ultrasound 
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  1. 1.
    Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. 1982;69:412–22.PubMedCrossRefGoogle Scholar
  2. 2.
    Burrows PE, Mulliken JB, Fellows KE, Strand RD. Childhood hemangiomas and vascular malformations: angiographic differentiation. Am J Roentgenol. 1983;141:483–8.CrossRefGoogle Scholar
  3. 3.
    Enjolras O. Classification and management of the various superficial vascular anomalies: hemangiomas and vascular malformations. J Dermatol. 1997;24:701–10.PubMedGoogle Scholar
  4. 4.
    Kawanabe T, Wakita S, Harii K, Hayashi N, Inoue Y. Sclerotherapy of hemangiomas and vascular malformations in lips. Jpn J Plast Reconstr Surg. 1996;16:852–62.Google Scholar
  5. 5.
    Inoue Y, Wakita S, Yoshikawa K, et al. Evaluation of flow characteristics of soft-tissue vascular malformations using technetium-99 m labeled red blood cells. Eur J Nucl Med. 1999;26:367–72.PubMedCrossRefGoogle Scholar
  6. 6.
    Kramer U, Ernemann U, Fenchel M, et al. Pretreatment evaluation of peripheral vascular malformations using low-dose contrast-enhanced time-resolved 3D MR angiography: initial results in 22 patients. Am J Roentgenol. 2011;196:702–11.CrossRefGoogle Scholar
  7. 7.
    Dubois J, Patriquin HB, Garel L, et al. Soft tissue hemangiomas in infants and children: diagnosis using Doppler sonography. Am J Roentgenol. 1998;171:247–52.CrossRefGoogle Scholar
  8. 8.
    Paltiel HJ, Burrows PE, Kozakewich HPW, Zurakowski D, Mulliken JB. Soft tissue vascular anomalies: utility of US for diagnosis. Radiology. 2000;214:747–54.PubMedGoogle Scholar
  9. 9.
    Oe Y, Orr L, Laifer-Narin S, et al. Contrast-enhanced sonography as a novel tool for assessment of vascular malformations. J Angiogenesis Res. 2010;2:25.CrossRefGoogle Scholar
  10. 10.
    Enjolras O, Riche MC, Merland JJ, Escnde JP. Management of alarming hemangiomas in infancy: a review of 25 cases. Pediatrics. 1990;85:491–8.PubMedGoogle Scholar
  11. 11.
    Taylor KJW, Ramos I, Carter D, Morse SS, Snower D, Fortune K. Correlation of Doppler US tumor signals with neovascular morphologic features. Radiology. 1988;166:57–62.PubMedGoogle Scholar
  12. 12.
    Hyodoh H, Masakazu H, Akiba H, et al. Peripheral vascular malformations: imaging, treatment approaches, and therapeutic issues. Radiographics. 2005;25:159–71.CrossRefGoogle Scholar
  13. 13.
    Puig S, Casati B, Staudenherz A, Paya K. Vascular low-flow malformations in children: current concepts for classification, diagnosis and therapy. Eur J Radiol. 2005;53:35–45.PubMedCrossRefGoogle Scholar
  14. 14.
    Puig S, Aref H, Chigot V, Bonin B, Brunelle F. Classification of venous malformations in children and implications for sclerotherapy. Pediatr Radiol. 2003;33:99–103.PubMedGoogle Scholar
  15. 15.
    Dubois J, Soulez G, Oliva VL, et al. Soft-tissue venous malformations in adult patients: imaging and therapeutic issues. Radiographics. 2001;21:1519–31.PubMedGoogle Scholar
  16. 16.
    Trop I, Dubois J, Guibaud L, et al. Soft tissue venous malformations in pediatric and young adult patients: diagnosis with Doppler US. Radiology. 1999;212:841–5.PubMedGoogle Scholar
  17. 17.
    Abernethy LJ. Classification and imaging of vascular malformations in children. Eur Radiol. 2003;13:2483–97.PubMedCrossRefGoogle Scholar
  18. 18.
    Blei F. Congenital lymphatic malformations. Ann NY Acad Sci. 2008;1131:185–94.PubMedCrossRefGoogle Scholar
  19. 19.
    Impellizzeri P, Romeo C, Borruto FA, et al. Sclerotherapy for cervical cystic lymphatic malformations in children. Our experience with computed tomography-guided 98 % sterile ethanol insertion and a review of the literature. J Pediatr Surg. 2010;45:2473–8.PubMedCrossRefGoogle Scholar
  20. 20.
    Bloom DC, Perkins AJ, Manning SC. Management of lymphatic malformations. Curr Opin Otolaryngol Head Neck Surg. 2004;12:500–4.PubMedCrossRefGoogle Scholar
  21. 21.
    Yun WS, Kim YW, Lee KB, et al. Predictors of response to percutaneous ethanol sclerotherapy (PES) in patients with venous malformations: analysis of patient self-assessment and imaging. J Vasc Surg. 2009;50:581–9.PubMedCrossRefGoogle Scholar
  22. 22.
    Jain R, Bandhu S, Sawhney S, Mittal R. Sonographically guided percutaneous sclerosis using 1 % polidocanol in the treatment of vascular malformations. J Clin Ultrasound. 2002;30:416–23.PubMedCrossRefGoogle Scholar
  23. 23.
    Tessari L, Cavezzi A, Frullini A. Preliminary experience with a new sclerosing foam in the treatment of varicose veins. Dematol Surg. 2001;27:58–60.CrossRefGoogle Scholar
  24. 24.
    Bergan J, Cheng V. Foam sclerotherapy of venous malformations. Phlebology. 2007;22(6):299–302.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of RadiologyCTI GesmbH InnsbruckInnsbruckAustria
  2. 2.Department of Radiology and Dermatology, Faculty of Medicine, Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Clinica ServetUniversity of ChileProvidencia, SantiagoChile

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