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Pearls and Pitfalls in the Management of Vascular Anomalies.
Semin Intervent Radiol
August 2024
The AVM Center of New York at Lenox Hill, Lenox Hill Hospital, Northwell Health, New York, New York.
Recent advancements in endovascular techniques have transformed the management of vascular malformations, shifting away from traditional surgical resections to less invasive methods like embolization and sclerotherapy. Vascular malformations are congenital anomalies resulting from embryonic angiogenesis failures, often misdiagnosed but manageable through a multidisciplinary approach. These malformations range from high-flow arteriovenous connections to low-flow venous, lymphatic, or mixed lesions, each requiring specific diagnostic and treatment strategies.
View Article and Find Full Text PDFKlippel-Trénaunay-Weber Syndrome: Prenatal Diagnosis and Review of the Literature.
J Clin Ultrasound
October 2024
Gynecology and Obstetrics Unit, Department of Public Health, School of Medicine, University of Naples Federico II, Naples, Italy.
Klippel-Trénaunay-Weber syndrome (KTW) is a rare congenital disease, representing a challenge in prenatal diagnosis due to overlapping characteristics with other syndromes and no specific genetic markers known to date. We have collected all the cases present in the literature on the prenatal diagnosis of KTW, emphasizing common ultrasound findings that can guide the clinician and genetics to the prenatal counseling. Thus, we collected all the information about the postnatal prognosis and the necessity for treatment.
View Article and Find Full Text PDFManagement of penile varicosity in Klippel-Trenaunay-Weber syndrome: a case report.
Int J Impot Res
October 2024
Department of Urology, AOUI Borgo Trento Hospital, University of Verona, Verona, Italy.
Extensile Anterior Approach for Total Hip Arthroplasty in a Patient with Crowe IV Hip Dysplasia and Klippel-Trénaunay Syndrome: A Case Report.
JBJS Case Connect
July 2024
Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.
Article Synopsis
- A 17-year-old boy with Klippel-Trénaunay syndrome underwent total hip arthroplasty (THA) and a subtrochanteric shortening osteotomy using a direct anterior approach (DAA) due to severe Crowe IV hip dysplasia.
- He began transitioning from limited weight-bearing to a more progressive protocol six weeks after surgery and was able to walk without pain by three months.
- The case highlights the importance of a multidisciplinary approach in caring for patients with KTS undergoing orthopedic procedures, demonstrating that the surgical technique used can be safe and effective for this condition.
Obstetric management for pregnant women with Klippel-Trenaunay syndrome: A UK case report and review of the literature.
Int J Gynaecol Obstet
February 2025
School of Medicine, Faculty of HEMS, Anglia Ruskin University, Chelmsford, UK.
Klippel-Trenaunay Syndrome (KTS) is a rare congenital vascular disorder characterized by extensive capillary and venous malformations that pose unique challenges during pregnancy. This case report discusses the successful management of a 34-year-old pregnant woman with KTS who had two caesarean sections, resulting in the birth of two healthy babies. Despite the lack of evidence-based guidelines for obstetrical management in KTS, a multidisciplinary team collaborated to devise a high-risk thrombosis management plan, involving the use of compression stocking and low molecular weight heparin prophylaxis.
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