Arteriovenous Fistulas and Vascular Malformations

Gloviczki, Péter; Noel, Audra A.; Hollier, Larry H.

doi:10.1002/9780470755815.ch83

Cited by 4 publications

(4 citation statements)

References 69 publications

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“…Traumatic arteriovenous fistulas are among the least common vascular injuries with the incidence of 2.3% to 3.9% ( 1 ). When an artery is damaged and blood extravasates into a closed anatomical space, a pulsatile hematoma is produced.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Arteriovenous Fistula After Kickboxing injury: Case Report & Review of the Literature

Rezvani

2013

Arch Trauma Res

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Introduction:A traumatic arteriovenous fistula (AVF) after repetitive blunt trauma has not been described previously. In a 34-year-old male, the first reported case of such an injury after repetitive blunt trauma is described.Case Presentation:A 34-year-old gentleman presented with a non-healing ulcer near his medial malleolus. A bone scan was performed and then treated for presumed osteomyelitis. An arteriogram confirmed an AVF, and coil embolization was performed with complete occlusion of the AVF. Subsequently, the ulcer healed rapidly with no complication. Along with the cause of AVF, this case is notable for symptom presentation.Conclusions:Arteriovenous fistula after blunt trauma can present as a non-healing venous stasis ulcer, which could be treated non-invasively.

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Section: Discussionmentioning

confidence: 99%

Traumatic Arteriovenous Fistula After Kickboxing injury: Case Report & Review of the Literature

Rezvani

2013

Arch Trauma Res

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“…Capillary malformations are typical in patients with Sturge-Weber syndrome, Klippel-Trenaunay syndrome, and Parkes Weber syndrome. 1,6,55 Capillary malformations were initially treated with argon lasers, but scarring has been reported in 5% to 24% of the treated cases. 56 Scarring has become less frequent with yellow light lasers.…”

Section: Capillary Malformationsmentioning

confidence: 99%

“…The list of some of these clinical syndromes includes Klippel-Trenaunay (Figures 15 to 17), Parkes-Weber, Servelle-Martorell, Sturge-Weber, Kasabach-Merritt, and Proteus or Mafucci syndromes, among others. [1][2][3][4]6,7 Patients with Klippel-Trenaunay syndrome are the most likely to be seen in vein clinics, and progress in the management of this condition deserves discussion; detailed descriptions of evaluation and treatment of these mixed hemolymphatic malformations were recently presented and published by our group. 6,10,55,67,68 Patients with Klippel-Trenaunay syndrome present with the clinical triad of atypical, mostly lateral varicose veins (Figure 17), edema or…”

Section: Mixed Vascular Malformationsmentioning

confidence: 99%

“…This report briefly reviews current definition, development, and classification of the most frequent vascular malformations that may be seen in the offices of vascular and endovascular surgeons, interventional radiologists, cardiologists, or phlebologists and highlights some of the recent progress made in their management. For a more detailed discussion of the topic, including clinical presentations, evaluation, and detailed therapy, the readers should consult recent, relevant chapters of vascular textbooks [1][2][3][4][5][6][7][8][9][10] and a special issue of the journal Phlebology, guest edited by B. B. Lee.…”

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Vascular Malformations: An Update

Gloviczki¹,

Duncan²,

Kalra³

et al. 2009

Perspectives in Vascular Surgery and Endovascular Therapy

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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.

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Klippel–Trenaunay Syndrome: Current Management

Glovkzki

Driscoll

2007

Phlebology

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Klippel-Trenaunay syndrome (KTS) is a rare, sporadic, complex malformation characterized by the clinical triad of (1) capillary malformations (port wine stain); (2) soft tissue and bone hypertrophy or, occasionally, hypotrophy of usually one lower limb; and (3) atypical, mostly lateral varicosity. KTS is a mixed vascular malformation, with predominant capillary, venous and lymphatic components, without significant arteriovenous shunting. Management is largely conservative and the extent of diagnostic evaluation is determined by the planned treatment. Compression is the hallmark of conservative management; laser can be used to treat port wine stains. Imaging before vascular interventions must confirm venous anatomy and deep venous drainage. Techniques for ablation of superficial veins and malformations are individualized and may include sclerotherapy with alcohol or foam, endovenous thermal ablation or, as used most frequently in our practice, surgical stripping and phlebectomy. Intraoperative use of tourniquet will decrease bleeding, selective use of an inferior vena cava filter will prevent pulmonary embolism. A multidisciplinary approach to management of KTS is warranted.

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Arteriovenous Fistulas and Vascular Malformations

Cited by 4 publications

References 69 publications

Traumatic Arteriovenous Fistula After Kickboxing injury: Case Report & Review of the Literature

Traumatic Arteriovenous Fistula After Kickboxing injury: Case Report & Review of the Literature

Vascular Malformations: An Update

Klippel–Trenaunay Syndrome: Current Management

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