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Titolo:
Congenital vascular malformations in the hand and forearm
Autore:
Sofocleous, CT; Rosen, RJ; Raskin, K; Fioole, B; Hofstee, DJ;
Indirizzi:
Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Radiol, Newark, NJ 07013 USA Univ Med & Dent New Jersey Newark NJ USA 07013 diol, Newark, NJ 07013 USA NYU, Med Ctr, Dept Orthoped Surg, New York, NY 10016 USA NYU New York NY USA 10016 Ctr, Dept Orthoped Surg, New York, NY 10016 USA NYU, Med Ctr, Vasc & Intervent Radiol Div, New York, NY 10016 USA NYU NewYork NY USA 10016 & Intervent Radiol Div, New York, NY 10016 USA Univ Utrecht, Med Ctr, Utrecht, Netherlands Univ Utrecht Utrecht Netherlands Utrecht, Med Ctr, Utrecht, Netherlands
Titolo Testata:
JOURNAL OF ENDOVASCULAR THERAPY
fascicolo: 5, volume: 8, anno: 2001,
pagine: 484 - 494
SICI:
1526-6028(200110)8:5<484:CVMITH>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTERIOVENOUS-MALFORMATIONS; ARTERIAL EMBOLIZATION; UPPER EXTREMITY; HEMANGIOMAS; MANAGEMENT; EMBOLOTHERAPY; CHILDREN; SURGERY; TUMORS;
Keywords:
arteriovenous malformation; primary venous malformation; embolotherapy; acrylic adhesives; ethanol;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Sofocleous, CT Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Radiol, UH C-320,150 Bergan St, Newark, NJ 07013 USA Univ Med & Dent New Jersey UH C-320,150 Bergan St Newark NJ USA 07013
Citazione:
C.T. Sofocleous et al., "Congenital vascular malformations in the hand and forearm", J ENDOVAS T, 8(5), 2001, pp. 484-494

Abstract

Purpose: To review a single-center experience in the management of symptomatic congenital vascular malformations of the hand and forearm with specialattention to embolotherapy. Methods: A retrospective chart review was performed to identify patients with vascular malformations referred for arteriography and possible intervention between 1983 and 1998. Arteriography and venography were performed in all patients to differentiate between true high-flow arteriovenous malformations (AVM) and low-flow primary venous malformations (PVM). The clinical and radiological data, procedural results, and follow-up data were retrievedand reviewed. Results: In a 15-year period, 39 patients (22 men; mean age 22.5 years, range 1-51) had symptomatic vascular lesions diagnosed in the forearm and hand: 21 AVMs, 17 PVMs, and one complex lesion with both AVM and PVM. Thirty-four (87%) lesions were treated with immediate technical success achieved in31 (91%) cases; 5 (13%) lesions were not amenable to percutaneous treatment. There were no major complications, but 3 embolized AVMs had significant residual flow (81.6% technical success on intention to treat basis). Long-term follow-up ranging to 5 years was available in 26 of the 34 treated patients; the mean symptom-free period was 30 months for the AVM patients and 30.5 months for the PVM group, with an average of 1.5 and 1.2 embolization procedures, respectively. Conclusions. Vascular malformations of the hand and forearm are extremely rare lesions that demand a multidisciplinary approach for optimal diagnosisand management. Microembolotherapy with or without surgery has offered thehighest level of safety and success to date.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 12:12:19