Document Detail


Venous malformation: update on aetiopathogenesis, diagnosis and management.
MedLine Citation:
PMID:  20870869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this review was to discuss the current knowledge on aetiopathogenesis, diagnosis and therapeutic management of venous malformations (VMs). VMs are slow-flow vascular anomalies. They are simple, sporadic or familial (cutaneomucosal VMs or glomuvenous malformations), combined (e.g. capillaro-venous and capillaro-lymphaticovenous malformations) or syndromic (Klippel-Trenaunay, blue rubber bleb naevus and Maffucci). Genetic studies have identified causes of familial forms and of 40% of sporadic VMs. Another diagnostic advancement is the identification of elevated D-dimer level as the first biomarker of VMs within vascular anomalies. Those associated with pain are often responsive to low-molecular-weight heparin, which should also be used to avoid disseminated intravascular coagulopathy secondary to intervention, especially if fibrinogen level is low. Finally, development of a modified sclerosing agent, ethylcellulose-ethanol, has improved therapy. It is efficient and safe, and widens indications for sclerotherapy to sensitive and dangerous areas such as hands, feet and periocular area.
Authors:
A Dompmartin; M Vikkula; L M Boon
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Phlebology / Venous Forum of the Royal Society of Medicine     Volume:  25     ISSN:  1758-1125     ISO Abbreviation:  Phlebology     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2011-02-01     Revised Date:  2011-11-10    
Medline Journal Info:
Nlm Unique ID:  9012921     Medline TA:  Phlebology     Country:  England    
Other Details:
Languages:  eng     Pagination:  224-35     Citation Subset:  IM    
Affiliation:
Department of Dermatology, Université de Caen Basse Normandie, CHU Caen, Caen, France.
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MeSH Terms
Descriptor/Qualifier:
Disease Management
Hemangioma
Humans
Nevus
Vascular Malformations* / diagnosis,  etiology,  therapy
Grant Support
ID/Acronym/Agency:
P01 AR048564/AR/NIAMS NIH HHS; P01 AR048564-08/AR/NIAMS NIH HHS
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