Capillary-venule malformation a microfistulous variant of arteriovenous malformation.

Vuillemin, Nicolas; Bernhard, Sarah; Haine, Axel; Schindewolf, Marc; Häberli, Dario; Hügel, Ulrike; Obrist, Dominik; Baumgartner, Iris (2020). Capillary-venule malformation a microfistulous variant of arteriovenous malformation. (In Press). Journal of vascular surgery. Venous and lymphatic disorder Elsevier 10.1016/j.jvsv.2020.05.012

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OBJECTIVE To describe typical clinical presentation of patients with microfistular, capillary- venule (CV) malformation as a variant form of arterio-venous malformations (AVM). METHODS A retrospective clinical analysis of 15 patients with CV-AVM confirmed by a computational flow model enrolled in a prospective database of patients with congenital vascular malformation between January 2008 and May 2018. RESULTS Mean age of patients at first time of presentation was 30 years with balanced gender ratio. Presentation was dominated by soft tissue hypertrophy (n=12, 80.0%) and atypical varicose veins (n=11, 73.3%). Anatomical location of enlarged varicose veins gave no uniform pattern and did not correspond to the typical picture of primary varicose vein disease. Most often symptomatic CV-AVM was found at the lower extremities in this series of unselected patients. The most frequent compartment affected was the subcutis (n=14, 93.3%), involvement of muscle was recorded in a third and cutis in a fourth of patients. CONCLUSIONS A high grade of clinical suspicion is needed to recognize CV-AVM and to prevent inadequate therapy due to failed diagnosis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Angiology
10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Cardiovascular Engineering (CVE)

UniBE Contributor:

Bernhard, Sarah Maike; Haine, Axel; Schindewolf, Marc; Häberli, Dario; Hügel, Ulrike; Obrist, Dominik and Baumgartner, Iris

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2213-3348

Publisher:

Elsevier

Language:

English

Submitter:

Claudine Strametz

Date Deposited:

24 Jun 2020 16:57

Last Modified:

24 Jun 2020 17:04

Publisher DOI:

10.1016/j.jvsv.2020.05.012

PubMed ID:

32470616

Uncontrolled Keywords:

chronic venous disease microcirculation varicose veins vascular malformation venous insufficiency

BORIS DOI:

10.7892/boris.144506

URI:

https://boris.unibe.ch/id/eprint/144506

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