Vascular malformations: An update

Peter Gloviczki, Audra Duncan, Manju Kalra, Gustavo Oderich, Joseph Ricotta, Thomas Bower, Michael McKusick, Haraldur Bjarnason, David Driscoll

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Vascular malformations occur as a result of an arrest in the development of the vascular system. The modified Hamburg classification distinguishes arterial, venous, arteriovenous, capillary, lymphatic, and mixed vascular malformations. Each malformation is further subdivided based on anatomy and on the time when arrest in development of the embryogenesis occurred; malformations can be truncular or extratruncular. Progress in the last decade in management has been significant because of improvements in open surgical procedures and perfection of percutaneous and hybrid endovascular interventions and devices, such as balloons, stents, and stent-grafts. There has been increasing use of embolization for the treatment of malformations with coils, other particles, glue, or with endovascular placement of occlusive plugs. Absolute alcohol, detergent liquids, or foam have been used for sclerotherapy with improved efficacy. The agents are delivered percutaneously or through a catheter placed either into the feeding arteries or the draining veins. This review aims to aid vascular and endovascular specialists in staying familiar with vascular malformations. These specialists need to be able to evaluate the patients, perform treatment if appropriate, or refer complex cases to multidisciplinary vascular malformation clinics and vascular centers.

Original languageEnglish (US)
Pages (from-to)133-148
Number of pages16
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume21
Issue number2
DOIs
StatePublished - Oct 5 2009

Keywords

  • Arteriovenous
  • Embolotherapy
  • Endovascular treatment
  • Sclerotherapy
  • Vascular malformations
  • Venous malformations

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Gloviczki, P., Duncan, A., Kalra, M., Oderich, G., Ricotta, J., Bower, T., McKusick, M., Bjarnason, H., & Driscoll, D. (2009). Vascular malformations: An update. Perspectives in Vascular Surgery and Endovascular Therapy, 21(2), 133-148. https://doi.org/10.1177/1531003509343019