What is a Vascular Malformation?
Vascular malformations are vascular structural anomalies that are present at birth but may not be apparent until later in life. Failure of the body to resorb immature vascular structures during development in the first few weeks of life in the uterus results in retained undifferentiated, redundant vasculature. Vascular malformations may increase in size due to trauma, surgery or hormonal influences (i.e. pregnancy, puberty, birth control pills). Vascular malformations are categorized into arteriovenous malformations (AVM), arteriovenous fistulas (AVFs), capillary malformations, venous malformations, lymphatic malformations, and mixed malformations. These vascular anomalies are very rare and have been historically difficult to diagnose and treat. Most clinicians see only a few in a lifetime of practice. Thus, patients afflicted with these disorders often seek help from many different physicians and undergo repetitive examinations, misdiagnosis, and frequent failed attempts at “definitive” therapy that lead to exacerbation of symptoms, lesion recurrences, and disability.
Vascular malformation in India
What are the Signs and Symptoms of Vascular Malformations?
Vascular malformation in Ahmedabad – Vascular malformations can be asymptomatic or cosmetically deforming or cause significant pain, swelling, disparity of limb size, skeletal abnormalities like pathologic fractures, muscle atrophy, skin discoloration, induce coagulopathy (bleeding disorders), induce neuropathy (nerve dysfunction) or cause ulceration. In the case of larger and more central anatomically located AVMs (arteriovenous malformations), there is greater likelihood of high output cardiac consequences. Vascular malformations cause severe symptoms in the organ systems that they occupy and cause their dysfunction.
Vascular malformation in India | Vascular malformation in Gujarat | Vascular malformation Doctor in Ahmedabad | Vascular malformation in Ahmedabad
Vascular malformations are present at birth in India, but can manifest much later. They continue to grow with the child and can show sudden spurts associated with trauma or puberty.
Vascular Malformations Treatment in Gujarat India
Vascular malformation in Ahmedabad – Since the treatment of these lesions differs greatly, an accurate diagnosis is important. Interestingly a study from a major referral centre in the US indicated that the term haemangioma was wrongly used in 73 percent of manuscripts studied. Not surprisingly, patients who were wrongly diagnosed were more likely to receive the wrong treatment. Many lesions can be accurately diagnosed with a careful history and examination. Sometimes further testing such as Ultrasound, CT, or MRI scans is required. Very rarely such lesions are associated with other problems such as limb overgrowth, or involvement of internal organs, requiring further testing.
Vascular malformations India (Facts) – About 40 percent of haemangioma and almost all malformations will require treatment. Haemangioma in the initial phase can be treated with medications which can stop proliferation and promote involution. Surgery is required in some children after full involution, to excise the residual lesion, or to treat complications. Vascular malformations do not respond to medication. Some of them can be treated by intervention radiologists who inject various substances under radiological guidance. The rest of the children will require surgery. In lesions with high blood flow they may require procedures before surgery to reduce the blood flow.
In short, vascular anomalies require proper evaluation in order to formulate a correct diagnosis and plan of treatment. Complicated cases should ideally be treated at centres with multidisciplinary teams in Ahmedabad, Gujarat, India.
Vascular Malformation in Ahmedabad
Vascular Malformation is a general term that includes congenital vascular anomalies of only veins, only lymph vessels, both veins and lymph vessels, or both Arteries and Veins.
Malformations are categorized according to type and flow in Ahmedabad, Gujarat
1)High-flow vascular anomalies include arteriovenous fistula channel (AVF) and arteriovenous malformations (AVM). [Vascular Malformation Ahmedabad]
2) Low-flow malformations include capillary malformations (CM), venous malformations (VM) and lymphatic (LM) malformations. [Vascular Malformation Gujarat]
Arteriovenous malformations Ahmedabad (AVMs)
may cause pain. They are also more stressful on the heart because of the rapid shunting of blood from arteries to veins. Depending on their location, they may also result in bleeding (for example from the bowels, from the uterus, from the bladder).
Hemangioma is another common term used for vascular anomalies. However, this name actually applies to a childhood vascular anomaly that has a rapid growth phase between birth and 3 months of age. These will resolve completely by age 7. The major reason for us to treat these is for low platelets that do not respond to medical treatment, or in the liver because of massive shunting with a strain on the heart.