Peculiarities of diagnosis and complex treatment of arterio-venous forms of the inborn vascular malformations of the extremities

Keywords: inborn vascular malformations; аrterio-venous form; clinico-аnatomical forms; аlgorithms of diagnosis and treatment

Abstract

Objective. Improvement of the treatment results in the patients, suffering arterio-venous inborn vascular malformations (АVIVМ) of the extremities, basing on elaboration of differentiated algorithms of diagnosis and treatment.

Маterials and methods. The investigation is based on data of complex clinical investigations and results of surgical treatment in 155 patients, suffering AVIVM of the extremities. A follow-up duration have constituted 1 mo - 10 yrs. There were 65 (42%) men, and 90 (58%) women, while the men to women ratio - 1: 1.4. Average age of the patients have constituted (25.1 ± 10.4) yr. There were 53 (34%) patients, ageing up to 18 yrs old (a pediatric age Group). Clinical material was analyzed, depending on clinic-anatomic forms of the disease. The patients were distributed into 11 Groups, basing on the working classification scheme «VASC + Т».

Results. Elaboration of a classification scheme of the inborn vascular malformations made it possible to improve the plan formation for diagnosis and the staged treatment   of the patients due to elaborated algorithms, depending on clinic-anatomical form of the disease. Elimination of development of serious postoperative complications was achieved due to application of a staged complex approach, using embolic, endovenous and surgical procedures.

Conclusion. Introduction of the tactics elaborated have resulted in achievement of satisfactory outcomes of treatment in 136 (94.4%) patients.

Author Biographies

L. M. Chernukha, Shalimov National Institute of Surgery and Transplantology, Kyiv

Chernukha Larysa M. - MD, DSci (Med)

Head Scientific Researcher

Department of surgery of the great vessels

Shalimov National Institute of Surgery and Transplantology,

30 Heroiv Sevastopolia Str., 03680, Kyiv, Ukraine

+38 044 454 2028

vasc.phlebo@gmail.com

https://orcid.org/0000-0003-3101-4133

O. V. Kashyrova, Shalimov National Institute of Surgery and Transplantology, Kyiv

Каshyrova Olena V. - MD,

Scientific Researcher

Department of surgery of the great vessels

Shalimov National Institute of Surgery and Transplantology,

30 Heroiv Sevastopolia Str., 03680, Kyiv, Ukraine

+38 044 454 20 90

elenakashyrova2103@gmail.com

https://orcid.org/0000-0001-8808-5464

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Published
2019-01-30
How to Cite
Chernukha, L. M., & Kashyrova, O. V. (2019). Peculiarities of diagnosis and complex treatment of arterio-venous forms of the inborn vascular malformations of the extremities. Klinicheskaia Khirurgiia, 86(1), 21-26. https://doi.org/10.26779/2522-1396.2019.01.21
Section
General Problems of Surgery