Plastic and Reconstructive Surgery, Global Open (Nov 2024)

Single-session Preoperative Embolization and Surgical Resection of Vascular Anomalies: A Case Series

  • Aravind Rajagopalan, MSc,
  • Nikhil Shah, BS,
  • Narainsai K. Reddy, MS,
  • Sofia Aronson, MD,
  • Akira Yamada, MD, PhD,
  • Shankar Rajeswaran, MD

DOI
https://doi.org/10.1097/GOX.0000000000006302
Journal volume & issue
Vol. 12, no. 11
p. e6302

Abstract

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Summary:. Vascular anomalies encompass 2 broad classifications including vascular tumors and vascular malformations. The management of vascular anomalies is best approached by a multidisciplinary team. Surgical treatment can offer definitive treatment, but carries several risks such as intraoperative hemorrhage, recurrence, and collateral vascular formations from incomplete resections. Here, we present a case report of 3 patients with different vascular anomalies who were all treated by a multidisciplinary team including interventional radiology and plastic surgery. All underwent preoperative embolization before surgical excision, accomplished under a single anesthetic. Here, we discuss the surgical planning and overall approach to patients presenting with localized vascular anomalies and support the use of preoperative embolization with surgical excision under a single anesthetic as a treatment approach.