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Updated: Oct 14, 2025
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Complex treatment of children with vascular head and neck malformations]
E Y Gavelya1, V V Roginsky1, A G Nadtochy1
1Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Insights
Minimally invasive treatments like radiofrequency ablation and laser therapy are effective for pediatric vascular lesions in the head and neck. These techniques offer stable aesthetic outcomes, establishing them as a preferred treatment standard.
Area of Science:
- Vascular Surgery
- Pediatric Oncology
- Dermatology
Background:
- Vascular lesions in children, including infantile hemangiomas and congenital malformations, present significant treatment challenges.
- Effective management requires specialized approaches to minimize morbidity and optimize cosmetic results.
Purpose of the Study:
- To analyze the outcomes of treating pediatric head and neck vascular lesions.
- To develop and implement minimally invasive techniques for these conditions.
Main Methods:
- Analysis of 4416 patients with vascular hyperplasia (hemangiomas) and 397 with vascular malformations treated between 1991 and 2020.
- Implementation of radiofrequency thermal ablation and pulsed dye laser therapy for severe maxillofacial arteriovenous malformations.
Main Results:
- Developed indications for effective minimally invasive treatment of pediatric vascular lesions.
- Radiofrequency thermal ablation and pulsed dye laser therapy demonstrated stable aesthetic results, becoming a gold standard.
Conclusions:
- Minimally invasive techniques are optimal for treating pediatric vascular lesions.
- Preferred methods include radiofrequency thermal ablation, interstitial laser coagulation, pulse phototherapy, sclerotherapy, and beta-blocker therapy.
Aim:
The article analyzes the results of treatment of children affected with lesions of blood vessels of the head and neck. The research is aimed at developing and implementing minimally invasive techniques to treat such children.
Material And Methods:
The study group comprised 4416 patients with hyperplasia of blood vessels (the so-called infantile and congenital hemangiomas) and 397 patients with blood vessel malformations, examined and treated from 1991 to 2020.
Results:
The paper summarizes developed indications and the results of implementation of effective minimally invasive methods for the treatment of children with vascular lesions: radiofrequency thermal ablation and pulsed dye laser treatment of children with severe forms of arterio-venous malformation in their maxillofacial area and. The treatment is currently the golden standard that provides stable aesthetic results.
Conclusion:
The most optimal and preferred methods of vascular lesions treatment proved to be minimally invasive techniques that include: radiofrequency thermal ablation, interstitial laser coagulation, pulse phototherapy, sclerotherapy and systemic treatment of beta-blockers.
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