Year 2015 Vol. 23 No 5

REVIEWS

L.M. CHERNUKHA, O.V. KASHYROVA, A.V. TODOSYEV

CLASSIFICATION STRATEGIC APPROACHES IN THE TREATMENT OF CONGENITAL VASCULAR MALFORMATIONS: A VIEW OF A VASCULAR SURGEON

SE "National Institute of Surgery and Transplantology named by O.O. Shalymov" NAMS of Ukraine, Kiev.
Ukraine

The article is devoted to the problems of terminology, classification of different forms of congenital vascular malformations (CVM) or angiodisplasias, basic principles of diagnostics and treatment. The aim of this paper is to improve the classification of congenital vascular malformations and the establishment of diagnostic and therapeutic algorithms to optimize tactics and treatment outcomes.
The advantages and disadvantages of basic preceding domestic and foreign classifications are analysed in details, the necessity of acceptance of uniform terminology, classification with the purpose of providing of universal diagnostic and treatment tactics is marked. On the basis of long-term clinical experience the authors offer their own classification of congenital vascular abnormalities vasc+t and algorithms of diagnostics and treatment of the most widespread forms of CVM.
The offered classification includes points, allowing to define the form of CVM, prevalence of disease, presence of complications with indications to operative treatment: I. Vascular defect of CVM; II. Anatomic defect of CVM; III. Localisation of defect; IV. Complications being absolute and relative indications to treatment; V. Congenital vascular tumours. Possibility of differential diagnostics of congenital vascular tumours is taken into account letting to avoid fatal errors on the stage of diagnostics.

Keywords: ongenital vascular malformations, angiodysplasia, new classification of vascular abnomalities vasc+t, congenital vascular tumours, complications, terminology, algorithms of diagnostics and treatment
p. 539-551 of the original issue
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Address for correspondence:
03680, Ukraina, g. Kiev, ul. geroev Sevastopolia,
d. 30. GU "Natsional'nyi institut khirurgii i
transplantologii im. A.A. Shalimova"
NAMNU otdel khirurgii magistral'nykh sosudov,
Tel. rab.:+3 8 050 193-05-04,
E-mail: aristosha@list.ru,
Kashirova Elena Vladimirovna
Information about the authors:
Chernuha L.M., MD, a leading researcher of the department of surgery of the great vessels of the National Institute of Surgery and Transplantation named after A.A. Shalimov NAMSU.
Kashirina E.V., a junior researcher of the department of surgery of the great vessels of the National Institute of Surgery and Transplantation named after A.A. Shalimov NAMSU.
Todos'ev A.V., an anesthesiologist-resuscitator of the department of surgery of the great vessels of the National Institute of Surgery and Transplantation named after A.A. Shalimov NAMSU.
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