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Role of a Multidisciplinary Vascular Anomalies Committee in the Management of Pediatric Patients: A Decade-Long
Patricia Andres-Ibarrola1, José Luis Díaz Ramón1, Isa Xu Xu2
1Department of Dermatology, Cruces University Hospital, Barakaldo, Spain.
Insights
A multidisciplinary Vascular Anomaly Center (VAC) effectively manages complex pediatric vascular anomalies. This approach improves diagnosis and leads to favorable outcomes in most patients.
Area of Science:
- Pediatric vascular anomalies
- Multidisciplinary care
- Clinical outcomes
Background:
- Vascular anomalies pose significant challenges in pediatric care.
- Optimal outcomes necessitate multidisciplinary management strategies.
Purpose of the Study:
- To evaluate the effectiveness of a multidisciplinary Vascular Anomaly Center (VAC).
- To analyze diagnostic accuracy and clinical outcomes for pediatric vascular anomalies.
Main Methods:
- Retrospective study of 180 pediatric patients (<14 years) with complex vascular anomalies.
- Analysis of demographics, lesion characteristics, management, and outcomes from January 2014 to January 2024.
Main Results:
- Vascular malformations (65.6%) and tumors (31.6%) were most common.
- 85% of patients experienced favorable outcomes (resolution, improvement, or stabilization).
- Multidisciplinary recommendations included further tests, treatment, or conservative management.
Conclusions:
- Multidisciplinary VACs are crucial for coordinated pediatric vascular anomaly management.
- Collaborative expertise enhances diagnostic accuracy and clinical outcomes.
- VACs facilitate improved patient care pathways.
Background:
Vascular anomalies represent a significant clinical challenge in pediatric populations, requiring multidisciplinary management for optimal outcomes.
Methods:
Retrospective descriptive study of patients under 14 years with suspected complex vascular anomalies presented to the VAC between January 2014 and January 2024. Variables analyzed included demographics, lesion characteristics, management decisions, and clinical outcomes.
Results:
A total of 180 patients were included (mean age 5.47 years, 55.6% female). Vascular malformations were most frequent (65.6%), followed by vascular tumors (31.6%). The most common locations were face/ears (20.6%) and lower extremities (18.3%). Initial committee recommendations included performing complementary tests (32.2%), treatment initiation (27.2%), and conservative management (25.6%). Overall, 53.3% of patients required therapeutic intervention. Favorable evolution was observed in 85% of patients: complete resolution (22%), clinical improvement (33%), or disease stabilization (30%).
Conclusion:
A multidisciplinary VAC serves as a valuable tool for coordinated management of complex vascular anomalies in pediatric patients, contributing to improve diagnostic accuracy and clinical outcomes through collaborative specialist expertise.
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