Novosti
Khirurgii

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Year 2016 Vol. 24 No 4

EXCHANGE OF EXPERIENCE

G.A. POPEL 1, A.V. VARABEI 1, I.A. DAVIDOVSKI 1, M.T. VOEVODA 1, A.I. ROGATEN 2, N.V. DERKACHEVA 2

DIAGNOSTICS OF CONGENITAL VASCULAR MAL FORMATIONS OF EXTERNAL LOCALIZATION

SBE "Belarusian Medical Academy of Post-Graduate Education"1,
Minsk,
ME "Minsk Regional Clinical Hospital"2,
Minsk
The Republic of Belarus

Objectives. To develop a differentiated algorithm of application of the most informative diagnostic methods for improving the treatment outcomes of patients with congenital vascular malformations (CVMs) of the external localization.
Methods. The study included 202 patients with ÑVM aged 1-78 years for the period 1990-2015. Depending on the blood flow velocity, all CVMs were divided into two types: low-velocity and high-velocity. The arteriovenous malformations (AVMs) were corresponded to high-velocity blood flow CVM; venous (VM), capillary (CM) and lymphatic malformations (LM) were corresponded to low-velocity blood flow. For the evaluation of patients with CVM the diagnostic algorithm was proposed. In addition to general clinical examination of patients the following diagnostic methods were used: a comprehensive ultrasound of the vessels, plain radiography of soft tissues and bones, tomographic methods of investigation, including computed tomography with dynamic contrast-enhanced image (CTI) and magnetic resonance angiography (MRA) as well as arteriography and phlebography.
Results. Analysis of demographic studies has shown that the detection of congenital vascular development occurs in the majority of cases in females at a young age (11-20 years), and indirectly indicates the clinical manifestation of the disease during the hormonal changes. Comprehensive ultrasound is leading in the evaluation of patients with CVM. Computed tomography (ÑT) and magnetic resonance imaging (MRI) are the most informative methods for accurate topical diagnosis of congenital vascular malformations, for estimation of the extension of the pathological process, for visualization of blood vessels. To reveal an intense blood flow at CVM the selective angiography should be prefered, as in some cases it can be a medical procedure to perform embolization of the arteriovenous reset.
Conclusion. The current examination of patients with CVM of the external localization should be based on a multidisciplinary approach, including ultrasound diagnostic methods, tomographic methods of investigation, as well as angiography.

Keywords: vascular malformations, arteriovenous malformation, venous malformation, ultrasound, computed tomography, magnetic resonance imaging, angiography
p. 407-416 of the original issue
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Address for correspondence:
223041, Republic of Belarus, Minsk region and district, Lesnoy setl.,1, ME "Minsk Regional Clinical Hospital", chair of surgery.
Tel: 37517 2652263
E-mail: hpopel@mail.ru
Popel Gennadiy Adolfovich
Information about the authors:
Popel G.A. Assistant, SEE "Belarusian Medical Academy of Post-Graduate Education", chair of surgery .
Varabei A.V. Corresponding Member of NAS of Belarus, MD, Head, SEE "Belarusian Medical Academy of Post-Graduate Education", chair of surgery, Head, Republican Center of the Reconstructive Surgical Gastroenterology and Coloproctology.
Davidovski I.A. Ass. Professor, SEE "Belarusian Medical Academy of Post-Graduate Education", chair of surgery.
Voevoda M.T. Ass. professor SEE "Belarusian Medical Academy of Post-graduate Education", chair of surgery.
Rogaten A.I. Physician, ME "Minsk Regional Clinical Hospital", ultrasound diagnostics unit.
Derkacheva N.V. Head ME "Minsk Regional Clinical Hospital", MRI room.
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