Complete Removal Plus Dorsalis Pedis Flap For Arteriovenous Malformation in the Hypothenar Region

Minami, Akio; Kato, Hiroyuki; Hirachi, Kazuhiko

doi:10.1055/s-2007-1000204

Cited by 5 publications

(4 citation statements)

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“…The concept of regulating flap, that reconstruction using a free flap controls the recurrence or regrowth after resection of AVM, has been proposed. However, no report has evaluated whether free flaps and other flap types clearly prevent the recurrence or regrowth compared with skin grafts…”

Section: Resultsmentioning

confidence: 99%

Japanese clinical practice guidelines for vascular anomalies 2017

Mimura

Akita

Fujino

et al. 2020

Pediatrics International

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The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety, and systematizing treatment, employing evidence‐based medicine (EBM) techniques and aimed at improvement of the outcomes. Clinical questions (CQs) were decided based on the important clinical issues. For document retrieval, key words for literature searches were set for each CQ and literature published from 1980 to the end of September 2014 was searched in Pubmed, Cochrane Library, and Japana Centra Revuo Medicina (JCRM). The strengths of evidence and recommendations acquired by systematic reviews were determined following the Medical Information Network Distribution System (MINDS) technique. A total of 33 CQs were used to compile recommendations and the subjects included efficacy of resection, sclerotherapy/embolization, drug therapy, laser therapy, radiotherapy, and other conservative treatment, differences in appropriate treatment due to the location of lesions and among symptoms, appropriate timing of treatment and tests, and pathological diagnosis deciding the diagnosis. Thus, the Japanese Clinical Practice Guidelines for Vascular Anomalies 2017 have been prepared as the evidence‐based guidelines for the management of vascular anomalies.

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Section: Resultsmentioning

confidence: 99%

Japanese clinical practice guidelines for vascular anomalies 2017

Mimura

Akita

Fujino

et al. 2020

Pediatrics International

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show abstract

“…The concept of a regulating flap, that reconstruction using a free flap controls the recurrence or regrowth after resection of AVM, has been proposed. However, no report has evaluated whether free flaps and other flap types clearly prevent the recurrence or regrowth compared with skin grafts…”

Section: Resultsmentioning

confidence: 99%

Japanese Clinical Practice Guidelines for Vascular Anomalies 2017

Mimura

Akita

Fujino

et al. 2020

The Journal of Dermatology

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The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety and systematizing treatment, employing evidence-based medicine techniques and aimed at improvement of the outcomes. Clinical questions (CQ) were decided based on the important clinical issues. For document retrieval, key words for published work searches were set for each CQ, and work published from 1980 to the end of September 2014 was searched in PubMed, Cochrane Library and Japana Centra Revuo Medicina databases. The strengths of evidence and recommendations acquired by systematic reviews were determined following the Medical Information Network Distribution System technique. A total of 33 CQ were used to compile recommendations and the subjects included efficacy of resection, sclerotherapy/embolization, drug therapy, laser therapy, radiotherapy and other conservative treatment, differences in appropriate treatment due to the location of lesions and among symptoms, appropriate timing of treatment and tests, and pathological diagnosis deciding the diagnosis. Thus, the Japanese Clinical Practice Guidelines for Vascular Anomalies 2017 have been prepared as the evidence-based guidelines for the management of vascular anomalies.

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“…Some authors have recommended that excision of the arteriovenous malformation including the affected skin, followed by replacement using a free flap, are good options. 2,[9][10][11][12][13][14][15] However, there have been few reports on the long-term follow-up of replacement free flaps, except for Upton and colleagues. 2,3,13 As presented in this paper, our 18-year follow-up indicated that the revascularized skin replacing abnormal skin by free flap can remain relatively normal.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8] Even in the hand, excision of the arteriovenous malformation (including the affected skin), followed by replacement using a free flap graft, are good options. 2,[9][10][11][12][13][14][15] We began to use microsurgical techniques such as resection of the lesion including the skin, followed by replacement with a free dorsalis pedis flap about 18 years ago, because the results of our early cases showed that microsurgery was a reasonable approach for congenital arteriovenous malformations. In this paper, we report the results of reconstruction with vascularized free flaps used in four cases of congenital arteriovenous malformation of the hand, and discuss the indications for our approaches and the factors in choosing an appropriate flap.…”

mentioning

confidence: 99%

Vascularized Free Flaps for Reconstruction After Resection of Congenital Arteriovenous Malformations of the Hand

Toh

Tsubo²,

Arai³

et al. 2000

J reconstr Microsurg

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Between 1981 and 1996, the authors performed reconstructions with vascularized free flaps in four patients with congenital arteriovenous malformations of the hand. This series included one man and three women, whose ages at the time of surgery ranged from 20 to 57 years, with an average of 41 years. All were categorized as fast-flow type B malformations. The locations of the arteriovenous malformations were the thumb only, thumb to palm, index to palm, and thumb and index to palm. In all cases, free vascularized flaps (two dorsalis pedis, one wrap-around, and one peroneal) were utilized to replace the resected abnormal skin lesions. Follow-up ranged from 1 year to 18 years and 9 months, with an average of 7 years. All flaps survived with no complications, and all patients were relieved of their preoperative symptoms. One patient unfortunately committed suicide for unknown reasons. The authors recommend that complete resection be carried out whenever possible. When skin is involved, repair should be carried out with a free flap. Based on the good results achieved in the case followed-up for over 18 years, vascularized free flaps proved very useful for the treatment of arteriovenous malformations.

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Complete Removal Plus Dorsalis Pedis Flap For Arteriovenous Malformation in the Hypothenar Region

Cited by 5 publications

References 0 publications

Japanese clinical practice guidelines for vascular anomalies 2017

Japanese clinical practice guidelines for vascular anomalies 2017

Japanese Clinical Practice Guidelines for Vascular Anomalies 2017

Vascularized Free Flaps for Reconstruction After Resection of Congenital Arteriovenous Malformations of the Hand

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