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Vascular malformations of the upper extremity continue to be a therapeutic challenge
to the hand surgeon. In the past 22 years, the authors treated 17 patients with major
vascular malformations of the upper extremity. The lesions were evaluated with the
aid of plain radiographs, angiography, and histology. Thirteen of the oatients were
female and 4 were male. The average age at treatment was 18 years, ranging from birth
to 64 years. The average follow-up period was 12 years, ranging from 4 months to 96
years. The main indications for surgery were pain, progressive enlargement, neurologic
compromise, diminished function, or a combination of these. The progression of these
lesions under observation led to surgical management in all cases. A total of 36 excisions,
3 embolizations, and 4 amputations were done. Postoperative angiograms were obtained
in selected individuals. Diffuse lesions defied total surgical removal. Recurrence
and persistence was evident in 12 of the 17 patients. A knowledge of the progressive
nature of these lesions and the need for long-term observation are the keystones to
the successful management of these challenging yet unresolved problems.
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Article info
Publication history
Accepted:
May 15,
1996
Received:
October 14,
1994
Footnotes
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Identification
Copyright
© 1997 The American Society for Surgery of the Hand. All rights reserved. Published by Elsevier Inc.
