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Surgical Treatment of Low-Flow CVM

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Congenital Vascular Malformations

Abstract

Low-flow CVM are truncular or extratruncular type. Truncular superficial dilated dysplastic veins can be removed surgically if deep veins are normal. Venous aneurysm needs treatment because pulmonary embolism may happen. Tangential resection or vein transplant are the best treatment. Extratruncular forms, limited or infiltrating, may be sited in every part of the body. Often they are intramuscular. Treatment options are surgical removal, sclerosis by direct puncture with foam or alcohol injection, and laser treatment. According to great variability in site and extension, treatment strategy should be decided at a multidisciplinary discussion.

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References

  1. Lee BB, Laredo J, Lee TS, Huh S, Neville R. Terminology and classification of congenital vascular malformations. Phlebology. 2007;22(6):249–52.

    Article  CAS  PubMed  Google Scholar 

  2. Lee BB, Antignani PL, Baraldini V, Baumgartner I, Berlien P, Blei F, Carrafiello GP, Grantzow R, Ianniello A, Laredo J, Loose D, Lopez Gutierrez JC, Markovic J, Mattassi R, Parsi K, Rabe E, Roztocil K, Shortell C, Vaghi M. ISVI-IUA consensus document diagnostic guidelines of vascular anomalies: vascular malformations and hemangiomas. Int Angiol. 2015) Aug;34(4):333–74.

    CAS  PubMed  Google Scholar 

  3. Lee BB, Baumgartner I, Berlien P, Bianchini G, Burrows P, Gloviczki P, Huang Y, Laredo J, Loose DA, Markovic J, Mattassi R, Parsi K, Rabe E, Rosenblatt M, Shortell C, Stillo F, Vaghi M, Villavicencio L, Zamboni P. Diagnosis and treatment of venous malformations consensus document of the International Union of Phlebology (IUP): updated 2013. Int Angiol. 2015;34(2):97–149.

    CAS  PubMed  Google Scholar 

  4. Mattassi R. Vascular malformations of the limbs: treatment of venous and arteriovenous malformations. In: Mattassi R, DA L, Vaghi M, editors. Hemangiomas and vascular malformations. An atlas of diagnosis and treatment. 2nd ed. Milan: Springer; 2015. p. 417–30.

    Google Scholar 

  5. Tomko T, Malý R, Jiska S, Chovanec V. Popliteal venous aneurysm as a cause of recurrent pulmonary embolism. Vasc Endovascular Surg. 2011;47(2):155–8. doi:10.1177/1538574412473185. Epub 2013 Jan 10

    Article  Google Scholar 

  6. Johnstone JK, Fleming MD, Gloviczki P, Stone W, Kalra M, Oderich GS, Duncan AA, De Martino RR, Bower TC. Surgical treatment of popliteal venous aneurysms. Ann Vasc Surg. 2015;29(6):1084–9. doi:10.1016/j.avsg.2015.02.009. Epub 2015 May 22

    Article  PubMed  Google Scholar 

  7. Mattassi R, Vaghi M. Intramuscular venous malformations. Int Angiol. 2004;23(suppl I):23.

    Google Scholar 

  8. Rivas S, López-Gutiérrez JC, Díaz M, Andrés AM, Ros Z. Venous malformations. Diagnosis and treatment during the childhood. Cir Pediatr. 2006;19(2):77–80.

    CAS  PubMed  Google Scholar 

  9. Dompmartin A, Acher A, Thibon P, Tourbach S, Hermans C, Deneys V, Pocock B, Lequerrec A, Labbé D, Barrellier MT, Vanwijck R, Vikkula M, Boon LM. Association of localized intravascular coagulopathy with venous malformations. Arch Dermatol. 2008;144(7):873–7. doi:10.1001/archderm.144.7.873.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Mazoyer E, Enjolras O, Bisdorff A, Perdu J, Wassef M, Drouet L. Coagulation disorders in patients with venous malformation of the limbs and trunk: a case series of 118 patients. Arch Dermatol. 2008;144(7):861–7. doi:10.1001/archderm.144.7.861.

    Article  PubMed  Google Scholar 

  11. Loose DA. Surgical management of venous malformations. Phlebology. 2007;22(6):276–82.

    Article  CAS  PubMed  Google Scholar 

  12. Su L, Fan X, Zheng L, Zheng J. Absolute ethanol sclerotherapy for venous malformations in the face and neck. J Oral Maxillofac Surg. 2010;68(7):1622–7. doi:10.1016/j.joms.2009.07.094. Epub 2009 Dec 4

    Article  PubMed  Google Scholar 

  13. Teresa O, Waner M. Upper airway congenital vascular lesions. In: Mattassi R, Loose DA, Vaghi M, editors. Hemangiomas and vascular malformations. An atlas of diagnosis and treatment. 2nd ed. Milan: Springer; 2015. p. 343–55.

    Google Scholar 

  14. Arneja JS, Gosain AK. An approach to the management of common vascular malformations of the trunk. J Craniofac Surg. 2006;17(4):761–6.

    Article  PubMed  Google Scholar 

  15. Wang S, Lang JH, Zhou HM. Venous malformations of the female lower genital tract. Eur J Obstet Gynecol Reprod Biol. 2009;145(2):205–8.

    Article  PubMed  Google Scholar 

  16. Burrows P. Vascular malformations involving the female pelvis. Semin Intervent Radiol. 2008 Dec;25(4):347–60. doi:10.1055/s-0028-1102993.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Di Giuseppe P. Treatment of vascular malformations in the hand. In: Mattassi R, Loose DA, Vaghi M, editors. Hemangiomas and vascular malformations. An atlas of diagnosis and treatment. 2nd ed. Milan: Springer; 2015. p. 379–86.

    Google Scholar 

  18. Lopez-Oliva CL, Wang EH, Cañal JP. Synovial hemangioma of the knee: an under recognized condition. Int Orthop. 2015;39(10):2037–40. doi:10.1007/s00264-015-2930-4. Epub 2015 Jul 31

    Article  PubMed  Google Scholar 

  19. Hauert J, Loose DA. Orthopedic problems. In: Mattassi R, Loose DA, Vaghi M, editors. Hemangiomas and vascular malformations. An atlas of diagnosis and treatment. Milan: Springer; 2015. p. 369–78.

    Google Scholar 

  20. Dompmartin A, Vikkula M, Boon L. Venous malformations: update on etiopathogenesis, diagnosis & management. Phlebology. 2010;25(5):224–35.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Raul Mattassi .

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Mattassi, R. (2017). Surgical Treatment of Low-Flow CVM. In: Kim, YW., Lee, BB., Yakes, W., Do, YS. (eds) Congenital Vascular Malformations. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46709-1_36

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  • DOI: https://doi.org/10.1007/978-3-662-46709-1_36

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46708-4

  • Online ISBN: 978-3-662-46709-1

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