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angiología
angiología

Angiology and Vascular Surgery

Consultants

Venous malformations

malformaciones vasculares

Venous malformations are benign abnormalities of veins which have not developed normally. They are larger and tangled, and if they are close to the skin, a mark may be seen.

 

Although they may not be detected until weeks or months after birth, this is a congenital condition.

 

Depending on their size and proximity to certain organs, they can pose a simple aesthetic problem or pose significant health risks to the patient.

 
 

 
 

Risk factors

  • Family history

Symptoms

  • Depending on their severity and vascular involvement, venous malformations may or may not cause symptoms. Most common are:
    • Risk of bleeding
    • Red, purple or bluish marks on the skin

Diagnosis

  • Diagnosis of venous malformations is based on the patient’s medical history and physical examination.
  • The radiological diagnostic test of choice is Doppler ultrasound, but depending on the problem, other studies such as CT angio or magnetic resonance angio may be necessary.
  • These diagnostic tests will demonstrate whether the malformation is attached to other blood vessels and will determine the involvement of other organs.

Treatment

  • The choice of treatment for venous malformations will depend on their location, size and depth.
  • Laser is often the treatment of choice for small and superficial lesions.
  • Sclerotherapy may be a good option in veins of a smaller calibre, injecting sclerosing material to reduce the vein.
  • Because of its location or nature, surgery may be the most appropriate solution, sometimes combined with sclerotherapy.
  • Drug treatment, when other treatments are not successful, or in combination with sclerotherapy or surgery.

 

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