Single-session Preoperative Embolization and Surgical Resection of Vascular Anomalies: A Case Series

Plast Reconstr Surg Glob Open. 2024 Nov 18;12(11):e6302. doi: 10.1097/GOX.0000000000006302. eCollection 2024 Nov.

Abstract

Vascular anomalies encompass 2 broad classifications including vascular tumors and vascular malformations. The management of vascular anomalies is best approached by a multidisciplinary team. Surgical treatment can offer definitive treatment, but carries several risks such as intraoperative hemorrhage, recurrence, and collateral vascular formations from incomplete resections. Here, we present a case report of 3 patients with different vascular anomalies who were all treated by a multidisciplinary team including interventional radiology and plastic surgery. All underwent preoperative embolization before surgical excision, accomplished under a single anesthetic. Here, we discuss the surgical planning and overall approach to patients presenting with localized vascular anomalies and support the use of preoperative embolization with surgical excision under a single anesthetic as a treatment approach.