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Updated: Feb 24, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Acute complications of vascular anomalies in childhood]
M Fließer1, A Teichler2, P H Höger2
1Abt. Pädiatrische Dermatologie/Allergologie, Kath. Kinderkrankenhaus Wilhelmstift, Liliencronstr. 130, 22149, Hamburg, Deutschland. m.fliesser@kkh-wilhelmstift.de.
Insights
Childhood vascular anomalies require prompt attention. Some, like infantile hemangiomas, kaposiform hemangioendothelioma, and Klippel-Trenaunay syndrome, can cause severe complications needing immediate medical intervention.
Area of Science:
- Pediatric vascular anomalies
- Childhood vascular malformations
- Congenital vascular disorders
Background:
- Vascular anomalies are frequent in children.
- Some vascular skin alterations are benign, while others pose significant health risks.
- Prompt diagnosis and treatment are crucial for managing severe complications.
Purpose of the Study:
- To highlight common childhood vascular anomalies.
- To present typical complications associated with these anomalies.
- To emphasize the need for timely intervention in specific cases.
Main Methods:
- Case examples of three distinct vascular anomalies were reviewed.
- Associated complications were identified for each anomaly.
- Clinical presentation and potential sequelae were analyzed.
Main Results:
- Infantile hemangiomas can lead to obstruction or ulceration, necessitating urgent treatment.
- Kaposiform hemangioendothelioma is associated with life-threatening consumption coagulopathy.
- Klippel-Trenaunay syndrome presents risks of thrombosis, localized coagulopathy, and superinfections.
Conclusions:
- Early recognition of specific vascular anomalies is vital.
- Prompt management can prevent severe or life-threatening complications.
- A spectrum of vascular anomalies in children requires tailored medical approaches.
Abstract:
Congenital and acquired vascular anomalies are common in childhood. In addition to predominantly harmless vascular skin alterations there are others which must be immediately treated due to the potentially threatening complications. As examples three anomalies and the typical complications are presented. Hemangiomas in infancy can make urgent treatment necessary because they can be complicated by obstruction or painful ulceration. Kaposiform hemangioendothelioma can lead to a life-threatening consumption coagulopathy. Klippel-Trenaunay syndrome can be complicated by thrombosis, localized coagulopathy, and superinfections.
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