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Updated: Jun 27, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

[Facial venous malformation presented with an unusual course].

H Piza-Katzer¹, P Waldenberger

¹Klinik für Plastische und Wiederherstellungschirurgie, Medizinische Universität Innsbruck, Osterreich. hildegunde.piza@i-med.ac.at

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V

|December 17, 2008

Summary

Venous malformations are vascular anomalies that do not regress spontaneously. This case study details successful treatment of a severe facial venous malformation using percutaneous sclerosis and surgical resection, significantly improving patient quality of life.

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Last Updated: Jun 27, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Area of Science:

Vascular Surgery
Interventional Radiology
Dermatology

Background:

Venous malformations (VMs) are congenital vascular anomalies characterized by abnormal venous development.
Unlike infantile hemangiomas, VMs do not undergo spontaneous regression and can cause significant disfigurement.
Management of extensive VMs, particularly in the head and neck region, presents therapeutic challenges.

Observation:

A 21-year-old female presented with a severe facial disfigurement due to a large venous malformation.
The patient underwent a multidisciplinary treatment approach involving consultation, planning, and intervention.
The interdisciplinary team included specialists in radiology and plastic surgery.

Findings:

Two sessions of percutaneous sclerotherapy under general anesthesia were performed.
Sclerotherapy facilitated thrombosis of the venous malformation.
Subsequent extensive surgical resection of the thrombosed malformation was successfully achieved.

Implications:

This case highlights the efficacy of a combined percutaneous sclerotherapy and surgical resection approach for large facial venous malformations.
The multidisciplinary strategy ensured optimal planning and execution, leading to a favorable outcome.
Successful treatment resulted in a significant improvement in the patient's quality of life and facial aesthetics.