Unfavorable results following surgical, endovascular and dermal treatments of vascular anomalies

Int Angiol. 2014 Feb;33(1):70-7.

Abstract

Aim: The aim of this paper to summarize the clinical characteristics of unfavorable results occurred following an unsuitable surgical, endovascular or dermal treatment for vascular anomalies.

Methods: Seventeen patients with vascular anomalies who had unintentional results following an intervention that was not consistent with the one suggested by a local academic multidisciplinary team were enrolled. The medical records of all patients were retrospectively examined.

Results: Venous malformation was the most frequent lesion in the patients (41.2%). More than half of the patients (52.9%) had an inadequate treatment as a concomitant of lack of a correct diagnosis. The most frequently occurred unfavorable result was the progression of the disease, the recurrence of the lesions, and clinical deterioration (64.7%).

Conclusion: The physicians who participating in the management of vascular anomalies should have a higher order of qualification than an average degree. Also, a multidisciplinary approach for the management of these anomalies is recommended.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Cicatrix / etiology
  • Clinical Competence
  • Diagnostic Errors
  • Disease Progression
  • Endovascular Procedures / adverse effects*
  • Female
  • Humans
  • Male
  • Pain, Postoperative / etiology
  • Patient Care Team
  • Predictive Value of Tests
  • Recurrence
  • Retrospective Studies
  • Risk Factors
  • Sclerotherapy / adverse effects*
  • Treatment Outcome
  • Vascular Malformations / diagnosis
  • Vascular Malformations / surgery
  • Vascular Malformations / therapy*
  • Vascular Surgical Procedures / adverse effects*
  • Young Adult