Low flow venous malformations. Laser treatment

the nineteen-hundreds Klippel and Trenaunay described their well-known malformation. In our country, professor Ayas, Albanese A. and others provided a new classifications of arterio-venous malformations. In nineteen seventy four Malan 2 and others studied these illnesses.

There were so many classifications that it was confusing. So Mulliken and Glowacki in nineteen eighty two reclassified the vascular malformations based on biological, inmunohistochemistry, radiological and hemodynamic differences.

In nineteen eighty eight, in the international consensus in Hamburg, the International Society for the Study of the Vascular Anomalies (ISSVA) is founded . It was agreed that angiodysplasias, vascular malformations and vascular anomalies refer to the same illness. Being vascular anomalies divided into hemangiomas and vascular malformations.

Leer articulo completo en Revista Iberoamericana de la Cirugia Vascular Volumen 6 Numero 2

The hemangiomas are true childhood tumors that develop from celular proliferation, and can recede spontaneously. They do not appear in adults primarily. The vascular malformations can be capillary, venous, arterial or lymphatic. With high (arterial) or low flow (venous and lymphatic).

Extratroncular forms developed in earlier embriological stages the arrest occurs before the main vascular trunks are formed and troncular forms, the arrest occur in the later stages of vascular trunk formation.

The venous malformations (VM) are benign tumors, formed by wide capillaries that have lost their normal anatomy and they constitute communications among them. As they are formed by capillaries, they can be found in any part of the body. T

hey are made of anomalous veins with low flow, endothelius mature and deficient muscle.

The VM inaccessible at the clinical examination are diagnosed by their complications, such as bleeding or by compression (brain or raquideal location). Only the superficial ones are diagnosed from the beginning. At this moment has a simple structure. In the evolution the contiguous vein walls atrophy and break communicating among them.

The angioma, in this phase, has received different denominations: cystic angioma, hemangiocistoma or cyst blood. They are frequent in limbs (skin and muscles), liver and bones. Therefore, symptoms depend on its topography 5,6. The objective of this presentation is not to present statistics, it is to propose another application for the laser in endoluminal contact mode, as a therapeutic alternative for the VM.


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