Related Experiment Video
Updated: Oct 4, 2025

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Towards a better treatment of patients with vascular malformations: certified interdisciplinary centers are mandatory
Beatrix Cucuruz1, Michael Koller2, Ronja Pfleiderer3
1University Clinic and Policlinic of Radiology at the Martin-Luther-Universität Halle-Wittenberg, Halle, Germany.
Insights
Vascular anomalies, rare orphan diseases, require standardized care. Establishing certified interdisciplinary Vascular Anomalies Centers (VAC) with clear criteria can improve patient treatment and healthcare quality.
Area of Science:
- Rare diseases
- Vascular anomalies
- Healthcare management
Background:
- Vascular anomalies are rare orphan diseases affecting all age groups.
- Conditions range from aesthetic concerns to life-threatening issues.
- Current patient management faces significant challenges.
Purpose of the Study:
- Outline problems in current vascular anomaly patient management.
- Propose structural solutions for improved future patient treatment.
- Define criteria for certified interdisciplinary Vascular Anomalies Centers (VAC).
Main Methods:
- Multi-perspective author panel including key stakeholders.
- Defined problem areas and potential solutions for vascular anomalies.
- Developed quality indicators for VAC certification.
Main Results:
- Lack of standardized nomenclature and evidence-based diagnostics/therapeutics.
- Expert opinions often lead to disparate treatment recommendations.
- Centralized, interdisciplinary VAC with agreed principles and quality indicators proposed as a solution.
Conclusions:
- Need for comprehensive nomenclature and interdisciplinary treatment centers for vascular anomalies.
- Increased scientific evidence and further education are crucial.
- Certified VAC using evidence-based criteria will enhance healthcare quality in Germany.
Background:
Vascular anomalies are orphan diseases that occur in all age groups and range from purely aesthetic to potentially life-threatening conditions. This thesis paper outlines the typical conferring problems in patient management and possible structural solutions for a better patient treatment in the future.
Methods:
A multi-perspective author panel consisting of key stakeholders from the German Interdisciplinary Society of Vascular Anomalies and the German Society for Surgery defined problem areas and possible solutions including quality indicators as criteria for certified interdisciplinary Vascular Anomalies Centers (VAC).
Results:
According to the literature available, clearly defined nomenclature and nosological entities often remain unused in this field, and consented diagnostic and therapeutic evidence is rare. Expert opinions dominate and in some cases lead to disparate recommendations. Typical patient problems arise from this situation, exemplified in patient vignettes. Centralized and standardized patient treatment in interdisciplinary VAC may be a solution to this problem. These centers should agree on a set of general principles and quality indicators with an additional minimum set of structural and procedural criteria.
Discussion:
The present position paper outlines perspectives for implementing certified interdisciplinary VAC. There is a need for a comprehensive nomenclature, access to interdisciplinary treatment centers, more scientific evidence, and further education in this rare group of diseases.
Conclusion:
Use of scientifically sound and patient-relevant criteria for certifying the interdisciplinary quality of VAC is expected to improve health care in Germany.
More Related Videos
06:18Author Spotlight: Segmentation and VR for Advanced Neurovascular Interventions
Published on: April 5, 2024
13:48Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
Published on: April 21, 2023
Related Concept Videos
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Peripheral Artery Disease III: Interprofessional Care
Venous Thrombosis III: Interprofessional Care
Cardiomyopathy V: Interprofessional Care
Aneurysm III: Interprofessional Care