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Vascular Malformations in Children: Diagnosis and Treatment

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Vascular malformations can look deceptively simple on the skin while extending deep into muscle, joints, the airway, or even cerebral vessels. Pediatric and vascular surgeon Yuliia Khomyn explains how to approach these lesions systematically and why their behavior can remain difficult to predict as a child grows.

The lecture moves from vascular development and classification into the practical differences between capillary, venous, lymphatic, arteriovenous, and combined malformations. Clinical cases demonstrate presentations ranging from limb overgrowth and recurrent bleeding to facial lesions, joint involvement, and high-flow malformations requiring repeated interventions.

A major focus is decision-making: what physical examination can already tell you, when ultrasound is useful, why contrast-enhanced MRI is central to assessment, and where angiography becomes both a diagnostic and therapeutic tool. The treatment section compares compression, anticoagulation, laser therapy, surgery, embolization, sclerotherapy, and mutation-guided systemic therapy—and shows why complex patients often need several of these approaches over time.

The discussion also covers Klippel-Trénaunay, Sturge-Weber, Proteus, and Parkes Weber syndromes, complications of commonly used interventions, and the clinical details that can change an apparently straightforward treatment plan.
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