The VASCERN-VASCA Working Group Diagnostic and Management Pathways for Venous Malformations-Reference-Cited by-同舟云学术

The VASCERN-VASCA Working Group Diagnostic and Management Pathways for Venous Malformations

Published:2023-03-23 Issue:2 Volume:4 Page:e064
ISSN:2690-2702
Container-title:Journal of Vascular Anomalies
language:en
Short-container-title:

Author:

Dompmartin Anne¹,Baselga Eulalia²,Boon Laurence M.³,Diociaiuti Andrea⁴,Dvorakova Veronika⁵,El Hachem May⁴,Gasparella Paolo⁶,Haxhija Emir⁶,Ghaffarpour Nader⁷,Kyrklund Kristiina⁸,Irvine Alan D.⁵,Kapp Friedrich G.⁹,Rößler Jochen⁹¹⁰,Salminen Päivi¹¹,van den Bosch Caroline¹²,van der Vleuten Carine¹³,Schultze Kool Leo¹⁴,Vikkula Miikka³¹⁵

Affiliation:

1. Dermatology Department CHU Caen Université Caen Normandie CHU Caen Côte nacre 14033 Caen Cedex, France

2. Pediatric Dermatology, Hospital Sant Joan de Deu, Barcelona, Spain; VASCERN VASCA European Reference Centre

3. Center for Vascular Anomalies, Division of Plastic Surgery, University Clinics Saint-Luc, University of Louvain, Brussels, Belgium; VASCERN VASCA European Reference Centre

4. Dermatology Unit and Genodermatosis Unit, Genetics and Rare Diseases Research Division, Bambino Gesù Children’s Hospital, IRCCS, Piazza Sant’Onofrio 4, 00165, Rome, Italy; VASCERN VASCA European Reference Centre

5. Paediatric Dermatology, Children’s Health Ireland;Clinical Medicine, Trinity College Dublin, Ireland; VASCERN VASCA European Reference Centre

6. Department of Paediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria; VASCERN VASCA European Reference Centre

7. Department of Plastic and Craniofacial Surgery Karolinska University Hospital Stockholm, Stockholm, Sweden; VASCERN VASCA European Reference Centre

8. Department of Pediatric Surgery, Children’s Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; VASCERN VASCA European Reference Centre

9. Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany; VASCERN VASCA European Reference Centre

10. Division of Pediatric Hematology and Oncology, Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

11. Department of Pediatric Surgery, HUSRare Disease Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland; VASCERN VASCA European Reference Centre

12. Hevas, Patient Organisation for Vascular Anomalies, Nijkerk, the Netherlands

13. Department of Dermatology, Radboudumc Expertise Center for Haemangiomas and Congenital Vascular Malformations Nijmegen (Hecovan), Radboud University Medical Center, Nijmegen, the Netherlands; VASCERN VASCA European Reference Centre

14. Department of Radiology, Radboudumc Expertise Center for Haemangiomas and Congenital Vascular Malformations Nijmegen (Hecovan), Radboud University Medical Center, Nijmegen, the Netherlands; VASCERN VASCA European Reference Centre

15. Human Molecular Genetics, de Duve Institute, University of Louvain, Brussels, Belgium

Abstract

Objective(s): To elaborate expert consensus patient pathways to guide patients and physicians toward efficient diagnostics and management of patients with venous malformations. Methods: VASCERN-VASCA (https://vascern.eu/) is a European network of multidisciplinary centers for Vascular Anomalies. The Nominal Group Technique was used to establish the pathways. Two facilitators were identified: one to propose initial discussion points and draw the pathways, and another to chair the discussion. A dermatologist (AD) was chosen as first facilitator due to her specific clinical and research experience. The draft was subsequently discussed within VASCERN-VASCA monthly virtual meetings and annual face-to-face meetings. Results: The Pathway starts from the clinical suspicion of a venous type malformation (VM) and lists the clinical characteristics to look for to support this suspicion. Strategies for subsequent imaging and histopathology are suggested. These aim to inform on the diagnosis and to separate the patients into 4 subtypes: (1) sporadic single VMs or (2) multifocal, (3) familial, multifocal, and (4) combined and/or syndromic VMs. The management of each type is detailed in subsequent pages of the pathway, which are color coded to identify sections on (1) clinical evaluations, (2) investigations, (3) treatments, and (4) associated genes. Actions relevant to all types are marked in separate boxes, including when imaging is recommended. When definite diagnoses have been reached, the pathway also points toward disease-specific additional investigations and recommendations for follow up. Options for management are discussed for each subtype, including conservative and invasive treatments, as well as novel molecular therapies. Conclusion: The collaborative efforts of VASCERN-VASCA, a network of the 9 Expert Centers, has led to a consensus Diagnostic and Management Pathways for VMs to assist clinicians and patients. It also emphasizes the role of multidisciplinary expert centers in the management of VM patients. This pathway will become available on the VASCERN website (http://vascern.eu/).

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Earth and Planetary Sciences,General Environmental Science

Reference18 articles.

1. How to use the nominal group and Delphi techniques.;McMillan;Int J Clin Pharm,2016

2. Using a modified nominal group technique to develop general practice.;Søndergaard;BMC Fam Pract,2018

3. Vascular anomalies classification: recommendations from the International Society for the Study of Vascular Anomalies.;Wassef;Pediatrics,2015

4. Classification des tumeurs et malformations vasculaires. Apport de la classification ISSVA 2014/2018 [Classification of vascular tumours and vascular malformations. Contribution of the ISSVA 2014/2018 classification].;Wassef;Ann Pathol,2021

5. Venous malformation: update on aetiopathogenesis, diagnosis and management.;Dompmartin;Phlebology,2010

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