Novosti
Khirurgii

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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: ñongenital 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
References
  1. Dan VN, Sapelkin SV. Angiodisplazii (vrozhdennye poroki razvitiia sosudov). Moscow, RF: Verdana; 2008. 199 p.
  2. Dan VN, Shchegolev AI, Sapelkin SV. Sovremennye klassifikatsii vrozhdennykh porokov razvitiia sosudov (angiodisplazii) [Modern classification of congenital malformations of vessels (angiodysplasias)]. Angiologiia i Sosud Khirurgiia . 2006;(12)4:28-33.
  3. Al'tman IV, Chernukha LM, Guch AA. Sosudistye anomalii kak sledstvie narusheniia embrional'nogo angiogeneza [Vascular anomalies as a result of violations of embryonic angiogenesis]. Kl³n Flebolog³ia. 2008;(1)1:46-48.
  4. Yakes WS, Parker SH. Diagnosis and management of vascular anomalies. in: castaneda-zuniga wr, Tadavarthy SM, edit. Interventional radiology. Baltimore: Williams and Wilkins. 1992:152-89.
  5. Lee BB, Do YS, Yakes W, Kim DI, Mattassi R, Hyon WS.Management of arteriovenous malformations: a multidisciplinary approach. J Vasc Surg. 2004 Mar;39(3):590-600.
  6. Lee BB. Critical issues in management of congenital vascular malformation. Ann Vasc Surg. 2004 May;18(3):380-92.
  7. Persky MS, Yoo HJ, Berenstein A. Management of vascular malformations of the mandible and maxilla. Laryngoscope. 2003 nov;113(11):1885-92.
  8. Duffy K. Genetics and syndromes associated with vascular malformations. Pediatr Clin North Am. 2010 oct;57(5):1111-20. doi: 10.1016/j.pcl.2010.07.001.
  9. Eerola I, Boon LM, Mulliken JB. Capillary malformation arteriovenous malformation, a new clinical and genetic disorder caused by rasa1 mutations. Am J Hum Genet. 2003;(73):1240-49.
  10. Malan E, Puglionisi A. Congenital angiodysplasias of the extremities. II. Arterial, arterial and venous, and haemolymphatic dysplasias. J Cardiovasc Surg (Torino). 1965 Jul-Aug;6(4):255-45.
  11. Szilagyi DE, Smith RF, Elliott JP, Hageman JH.Congenital arteriovenous anomalies of the limbs. Arch Surg. 1976 Apr;111(4):423-29.
  12. Rutherford RB, Anderson BO, Durham JD. Congenital vascular malformations of the extremities. In Moore WS (ed): vascular surgery: a comprehensive review, 5th ed. Philadelphia, WB Saunders; 1998:191-202.
  13. Rosen RJ, Riles TS.. Congenital vascular malformations. RB Rutherford (ed.), Vascular Surgery. (5th ed) Saunders WB. Philadelphia. 2000:1451-65.
  14. Gloviczki P, Noel AA, Hollier LH. Arteriovenous fistulas and vascular malformations. In: Ascher E, editor. Haimovici's Vascular Surgery. 5th ed. Malden (ma): Blackwell publishing, inc.; 2004:991-14.
  15. Eerola I, Boon LM, Mulliken JB, Burrows PE, Dompmartin A, Watanabe S, Vanwijck R, Vikkula M. Capillary malformation-arteriovenous malformation, a new clinical and genetic disorder caused by rasa1 mutations. Am J Hum Genet. 2003 Dec;73(6):1240-49.
  16. Collins PS, Han W, Williams LR, Rich N, Lee JF, Villavicencio J.Maffucci's syndrome (hemangiomatosis osteolytica): a report of four cases. J Vasc Surg. 1992 Sep;16(3):364-71.
  17. Lublin M, Schwartzentruber DJ, Lukish J, Chester C, Biesecker LG, Newman KD. Principles for the surgical management of patients with proteus syndrome and patients with overgrowth not meeting proteus criteria. J Pediatr Surg. 2002 Jul;37(7):1013-20.
  18. Tasnádi G. Epidemiology and etiology of congenital vascular malformations. Semin Vasc Surg. 1993 Dec;6(4):200-3.
  19. Forbes G, Earnest F, Jackson IT, Marsh WR, Jack CR, Cross SA. Therapeutic embolization angiography for extra-axial lesions in the head. MAYO CLIN PROC. 1986 Jun;61(6):427-41.
  20. Milovanov AP. Patomorfologiia angiodisplazii konechnostei [Pathomorphology of limb dysplasia]. Moscow, USSR. Meditsina; 1978. 143 p.
  21. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. 1982;(69)3:412-22.
  22. Noel AA, Gloviczki P, Cherry KJ, Rooke TW, Stanson AW, Driscoll DJ. Surgical treatment of venous malformations in klippel-trénaunay syndrome. J Vasc Surg. 2000 Nov;32(5):840-47.
  23. Kohout MP, Hansen M, Pribaz JJ, Mulliken JB. Arteriovenous malformations of the head and neck: natural history and management. Plast Reconstr Surg. 1998 Sep;102(3):643-54.
  24. Lee BB. Consensus document of the international union of angiology on av malformation/ international angiology. 2012;31(suppl.1)3:108-109.
  25. Lee BB, Baumgartner I, Berlien HP, Bianchini G, Burrows P, Do YS, Ivancev K, Kool LS, Laredo J, Loose DA, Lopez-Gutierrez JC, Mattassi R, Parsi K, Rimon U, Rosenblatt M, Shortell C, Simkin R, Stillo F, Villavicencio L, Yakes W. Consensus document of the international union of angiology (iua)-2013. current concept on the management of arterio-venous management. Int Angiol. 2013 Feb;32(1):9-36.
  26. Blei F. Medical and genetic aspects of vascular anomalies. Tech Vasc Interv Radiol. 2013 Mar;16(1):2-11. doi: 10.1053/j.tvir.2013.01.002.
  27. Liu AS, Mulliken JB, Zurakowski D, Fishman SJ, Greene AK. Extracranial arteriovenous malformations: natural progression and recurrence after treatment. Plast Reconstr Surg. 2010 Apr;125(4):1185-94. doi: 10.1097/PRS.0b013e3181d18070.
  28. Strohschneider T, Lange S, Hanke H. Parkes-Weber-syndrom. Gefässchirurgie April 2009;(14)2:129-33.
  29. Burrows PE, Mulliken JB, Fishman SJ, Klement GL, Folkman J. Pharmacological treatment of a diffuse arteriovenous malformation of the upper extremity in a child. J Craniofac Surg. 2009 Mar;20( Suppl 1):597-602. doi: 10.1097/SCS.0B013E3181927F1E.
  30. Visser A, FitzJohn T, Tan ST. Surgical management of arteriovenous malformation. J Plast Reconstr Aesthet Surg. 2011 Mar;64(3):283-91. doi: 10.1016/j.bjps.2010.05.033.
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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