Rajagopalan Aravind, Shah Nikhil, Reddy Narainsai K, Aronson Sofia, Yamada Akira, Rajeswaran Shankar
From the Rutgers Robert Wood Johnson Medical School, Piscataway, N.J.
Division of Plastic Surgery, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Plast Reconstr Surg Glob Open. 2024 Nov 18;12(11):e6302. doi: 10.1097/GOX.0000000000006302. eCollection 2024 Nov.
Vascular anomalies encompass 2 broad classifications including vascular tumors and vascular malformations. The management of vascular anomalies is best approached by a multidisciplinary team. Surgical treatment can offer definitive treatment, but carries several risks such as intraoperative hemorrhage, recurrence, and collateral vascular formations from incomplete resections. Here, we present a case report of 3 patients with different vascular anomalies who were all treated by a multidisciplinary team including interventional radiology and plastic surgery. All underwent preoperative embolization before surgical excision, accomplished under a single anesthetic. Here, we discuss the surgical planning and overall approach to patients presenting with localized vascular anomalies and support the use of preoperative embolization with surgical excision under a single anesthetic as a treatment approach.
血管异常包括两大类,即血管肿瘤和血管畸形。血管异常的治疗最好由多学科团队进行。手术治疗可以提供确定性治疗,但存在一些风险,如术中出血、复发以及不完全切除导致的侧支血管形成。在此,我们报告3例不同血管异常患者的病例,他们均由包括介入放射学和整形外科的多学科团队进行治疗。所有患者在手术切除前均接受了术前栓塞,且在单次麻醉下完成。在此,我们讨论了针对局部血管异常患者的手术规划和总体治疗方法,并支持将术前栓塞与单次麻醉下的手术切除作为一种治疗方法。