PT  - JOURNAL ARTICLE
AU  - El-Kayali, Abdulrahman Y.
AU  - Al-Salman, Mussaad M.
AU  - Iqbal, Kaisor I.
AU  - Rabee, Hussein M.
AU  - Khoujah, Elham M.
TI  - Vascular anomalies - diagnosis and therapy
DP  - 2002 Mar 01
TA  - Saudi Medical Journal
PG  - 272--276
VI  - 23
IP  - 3
4099  - http://smj.org.sa/content/23/3/272.short
4100  - http://smj.org.sa/content/23/3/272.full
SO  - Saudi Med J2002 Mar 01; 23
AB  - OBJECTIVE: Vascular anomalies were once thought to be impossible to properly diagnose and treat. Hence, we aimed to evaluate the different diagnostic and therapeutic modalities in the management of vascular anomalies.METHODS: We carried out a retrospective review of our experience to evaluate different diagnostic and therapeutic modalities in the management of 25 patients with vascular anomalies over a 2-year-period at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia and follow-up period ranging from 2 months to 2 years.RESULTS: Vascular anomalies were more common in male patients (N=19). Age range was 7 to 46 years. Vascular anomalies were categorized as hemangioma (N=2) or malformation (N=23). The vascular malformation were further subdivided into slow flow (N=5) and fast flow (N=18). Duplex (N=12) and radiographic studies; angiography (N=21), venography (N=7), computerized tomography (N=10) and magnetic resonnance angiography (N=8) were used to confirm diagnosis. The treatment of hemangiomas were surgical resection (N=1) and conservative treatment (N=1). Embolization was the main modality of treatment in vascular malformation (N=16), with surgical resection in 4 patients, sclerotherapy in one and conservative in the other 2. All cases had successful outcome with no complications.CONCLUSION: Control of large vascular malformations with acceptable results can be achieved nowadays. Intra-arterial embolization is the mainstay of treatment and long term follow-up with serial physical examination, duplex and arteriography is required.