Vascular malformations: classification, prognosis and remedy.
Int Angiol. 2018 Feb 08;:
Authors: Carqueja IM, Sousa J, Mansilha A
Summary
BACKGROUND: Vascular malformations are congenital lesions with advanced scientific shows and administration. Their classification and remedy choices have significantly modified all through the years, with conflicting proof within the literature. On this article, we intention to assessment the classification, prognosis and remedy of the primary vascular malformations.
METHODS: An intensive non-systematic assessment of the literature was performed utilizing PubMed/Medline. Seventy-nine articles had been chosen and included, based on their scientific relevance and relation with the topic.
RESULTS: Vascular malformations happen resulting from errors throughout vasculogenesis. They’re current at delivery, although they is probably not obvious till later in life. These malformations are most often discovered within the head and neck, however can happen in any a part of the physique. They are often divided based on the predominant vessel sort into arteriovenous, venous, capillary and lymphatic. Mixed malformations happen when multiple sort of vessel is current. Medical presentation is variable and depends upon the kind of malformation, in addition to location, dimension and relation with different constructions. Signs resembling ischemia, swelling, ache, thrombosis, deformity and purposeful impairment may be attributable to these lesions. The prognosis of vascular malformations is predicated in each scientific presentation and complementary imaging strategies, with particular emphasis on magnetic resonance imaging. Relying on the malformation and scientific presentation, remedy could also be medical or interventional, by the use of each interventional strategies or surgical procedure.
CONCLUSIONS: Vascular malformations are a posh group of pathologies, with totally different scientific shows and remedy choices, and due to this fact administration by a multi-disciplinary staff is important. Their remedy is commonly difficult and when not potential, remedy ought to intention at symptomatic management and enchancment of affected person’s high quality of life.
PMID: 29424187 [PubMed – as supplied by publisher]