This Article Full Text (PDF) All Versions of this Article: 1531003509343019v1 21/2/133    most recent References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Scopus Google Scholar Articles by Gloviczki, P. Articles by Driscoll, D. PubMed PubMed Citation Articles by Gloviczki, P. Articles by Driscoll, D. Social Bookmarking                         What's this?

Vascular Malformations: An Update

Division of Vascular and Endovascular Surgery and Vascular Malformation Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA, gloviczki.peter{at}mayo.edu, Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA, Vascular Malformation Clinic, Gonda Vascular Center, mayo Clinic, Rochester, MN, USA, Division of Vascular and Endovascular Surgery, Gonda Vascular Center, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Audra Duncan, MD

Division of Vascular and Endovascular Surgery and Vascular Malformation Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA, Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA, Vascular Malformation Clinic, Gonda Vascular Center, mayo Clinic, Rochester, MN, USA, Division of Vascular and Endovascular Surgery, Gonda Vascular Center, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Manju Kalra, MD

Gustavo Oderich, MD

Division of Vascular and Endovascular Surgery and Vascular Malformation Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA, Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA, Vascular Malformation Clinic, Gonda Vascular Center, mayo Clinic, Rochester, MN, USA, Division of Vascular and Endovascular Surgery, Gonda Vascular Center, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Joseph Ricotta, MD

Division of Vascular and Endovascular Surgery and Vascular Malformation Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA, Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA, Vascular Malformation Clinic, Gonda Vascular Center, mayo Clinic, Rochester, MN, USA, Division of Vascular and Endovascular Surgery, Gonda Vascular Center, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Thomas Bower, MD

Division of Vascular and Endovascular Surgery and Vascular Malformation Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA, Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA, Vascular Malformation Clinic, Gonda Vascular Center, mayo Clinic, Rochester, MN, USA, Division of Vascular and Endovascular Surgery, Gonda Vascular Center, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Michael McKusick, MD

Division of Vascular and Endovascular Surgery and Vascular Malformation Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA, Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA, Vascular Malformation Clinic, Gonda Vascular Center, mayo Clinic, Rochester, MN, USA, Division of Vascular and Endovascular Surgery, Gonda Vascular Center, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Haraldur Bjarnason, MD

Division of Vascular and Endovascular Surgery and Vascular Malformation Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA, Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA, Vascular Malformation Clinic, Gonda Vascular Center, mayo Clinic, Rochester, MN, USA, Division of Vascular and Endovascular Surgery, Gonda Vascular Center, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

David Driscoll, MD

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.

Key Words: vascular malformations • arteriovenous • venous malformations • embolotherapy • sclerotherapy • endovascular treatment

This version was published on June 1, 2009

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 21, No. 2, 133-148 (2009)
DOI: 10.1177/1531003509343019


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?