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Published on: June 15, 2020
[Present-day classifications of congenital vascular malformations (angiodysplasias)]
V N Dan1, A I Shchegolev, S V Sapelkin
1Department of Vascular Surgery, A.V.Vishnevsky Institute of Surgery, Russian Academy of Medical Sciences, Moscow, Russia.
Insights
This review clarifies congenital vascular malformations, differentiating angiodysplasias from hemangiomas. It examines common classification systems used in cardiovascular surgery, highlighting their strengths and weaknesses for improved clinical understanding.
Area of Science:
- Vascular Surgery
- Developmental Biology
- Medical Terminology
Context:
- Congenital vascular developmental abnormalities present diagnostic challenges.
- Existing classifications lack standardization, leading to clinical confusion.
- Distinguishing between angiodysplasias and hemangiomas is crucial for treatment.
Purpose:
- To review and critically analyze existing classifications of congenital vascular malformations.
- To clarify terminology and differentiate between angiodysplasias and hemangiomas.
- To evaluate the strengths and weaknesses of the Hamburg and V.N. Dan classifications in cardiovascular surgery.
Summary:
- The article reviews congenital vascular malformations, focusing on classification features and the distinction between angiodysplasias and hemangiomas.
- It addresses terminological ambiguities in clinical practice.
- Two prominent classifications, Hamburg and V.N. Dan, are detailed, with an assessment of their advantages and limitations.
Impact:
- Aims to improve diagnostic accuracy and consistency in managing vascular malformations.
- Provides a foundation for refining classification systems in vascular surgery.
- Facilitates clearer communication and decision-making in clinical settings.
Abstract:
The article deals with the previously existing classifications of congenital vascular developmental abnormalities (angiodysplasias,malformations), with an emphasis put on the main classificatory features, as well as on the basic differences between angiodysplasias and haemangiomas. Due coverage is given to specifying certain problems related to the apparently synonymous technical terms and words widely used in the clinical practice concerned. Also, carefully described herein are two most frequently occurring in the practice of cardiovascular surgery classifications of dysplasias, namely that of Hamburg, and V.N. Dan's classification with a close look at the strengths and weaknesses thereof.
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