TY - JOUR
T1 - Vascular malformations
T2 - An update
AU - Gloviczki, Peter
AU - Duncan, Audra
AU - Kalra, Manju
AU - Oderich, Gustavo
AU - Ricotta, Joseph
AU - Bower, Thomas
AU - McKusick, Michael
AU - Bjarnason, Haraldur
AU - Driscoll, David
PY - 2009
Y1 - 2009
N2 - 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.
AB - 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.
KW - Arteriovenous
KW - Embolotherapy
KW - Endovascular treatment
KW - Sclerotherapy
KW - Vascular malformations
KW - Venous malformations
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U2 - 10.1177/1531003509343019
DO - 10.1177/1531003509343019
M3 - Article
C2 - 19713211
AN - SCOPUS:70349499178
SN - 1531-0035
VL - 21
SP - 133
EP - 148
JO - Perspectives in Vascular Surgery and Endovascular Therapy
JF - Perspectives in Vascular Surgery and Endovascular Therapy
IS - 2
ER -