Ning-Fei Liu, MD, PhD, Qing Lu, MD, Zhi-Xin Yan, MD

Slides:

Advertisements

Similar presentations

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

Advertisements

External jugular vein thrombosis secondary to deep tissue neck massage

Volume 69, Issue 11, Pages e435-e444 (November 2014)

Koray Şahin, MD, Serkan Bayram, MD, Ahmet Salduz, MD

Klippel Trenaunay Syndrome Case presentation

Endovascular radiofrequency ablation: A novel treatment of venous insufficiency in Klippel-Trenaunay patients Krista Frasier, BS, RVT, Gary Giangola,

Management of Lymphatic Malformations

A case of intravascular epithelioid hemangioendothelioma occurring 14 years after coil embolization for an extracranial internal carotid artery aneurysm

Failure of microvenous valves in small superficial veins is a key to the skin changes of venous insufficiency Jordan R. Vincent, Gregory Thomas Jones,

Soft tissue sarcomas may present with deep vein thrombosis

Bleomycin A5 sclerotherapy for cervicofacial lymphatic malformations

Bleomycin A5 sclerotherapy for cervicofacial lymphatic malformations

Noninvasive evaluation of the lymphatic system with lymphoscintigraphy: A prospective, semiquantitative analysis in 386 extremities Robert A. Cambria,

Mohammed Al-Omran, MD, MSc Journal of Vascular Surgery

External jugular vein thrombosis secondary to deep tissue neck massage

Noncontrast three-dimensional magnetic resonance imaging vs lymphoscintigraphy in the evaluation of lymph circulation disorders: A comparative study

Deep axial reflux, an important contributor to skin changes or ulcer in chronic venous disease Gudmundur Danielsson, MD, PhD, Bo Eklof, MD, PhD, Andrew.

Christopher D. Owens, MD, MSc Journal of Vascular Surgery

External jugular vein thrombosis secondary to deep tissue neck massage

Patients with intralesional hemorrhage in venous malformations: Diagnosis and embolosclerotherapy Hui Chen, MD, Xiaoxi Lin, MD, Yunbo Jin, MD, Wei Li,

Compression syndromes of the popliteal neurovascular bundle due to Baker cyst Jorge E. Sanchez, BS, Nicole Conkling, BA, BS, Nicos Labropoulos, PhD, DIC,

Extraluminal lipoma with common femoral vein obstruction: A cause of chronic venous insufficiency Antonios P. Gasparis, MD, Stylianos Tsintzilonis, MD,

Thrombosis in unusual sites of the lower extremity veins

LEV 6. Klippel-Trénaunay Syndrome: A Case Report and Literature Review

Noncontrast three-dimensional magnetic resonance imaging vs lymphoscintigraphy in the evaluation of lymph circulation disorders: A comparative study

Treatment of venous malformations by direct injection with ethanol

Endovascular radiofrequency ablation: A novel treatment of venous insufficiency in Klippel-Trenaunay patients Krista Frasier, BS, RVT, Gary Giangola,

Anatomic and functional evaluation of the lymphatics and lymph nodes in diagnosis of lymphatic circulation disorders with contrast magnetic resonance.

Role of computed tomographic angiography in the detection and comprehensive evaluation of persistent sciatic artery Ah Young Jung, MD, Whal Lee, MD,

Risk factors for leg length discrepancy in patients with congenital vascular malformation Young-Wook Kim, MD, Sang-Hoon Lee, MD, Dong-Ik Kim, MD, Young-Soo.

SS13. Endovascular Treatment of Klippel-Trenaunay Syndrome

Lymphovenous anastomosis for recurrent swelling syndrome and chylous effusion due to cervical thoracic duct cyst Julie Veziant, MD, Laurent Sakka, MD,

Posttraumatic edema of the lower extremities: Evaluation of the lymphatic vessels with magnetic resonance lymphangiography Christian Lohrmann, MD, Gregor.

Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema Jiro Maegawa, MD, Yuichiro Yabuki, MD, Hiroto Tomoeda, MD, Misato Hosono,

Tuberculosis should not be ignored in patients with peripheral gangrene Yuan Yao, MM, Bin Liu, MD, Ji-bo Wang, MD, Hua Li, MM, Hong Da Liang, MM Journal.

Audra A. Noel, MDa, Peter Gloviczki, MDa, Kenneth J

Prevalence of deep venous anomalies in congenital vascular malformations of venous predominance Sandra Eifert, MD, J.Leonel Villavicencio, MD, Tzu-Cheg.

Multiple congenital ectatic and fusiform arterial aneurysms associated with lower limb hypoplasia Juan Carlos Lopez-Gutierrez, MD, PhD, Laura Cadenas.

O. Richter, R. Schneider, M. Moche, S. Rohm, P. Fellmer, S. Jonas

Deming Wang, MD, Lixin Su, PhD, Yifeng Han, MD, Xindong Fan, MD

William Huang, MBBS, PhD, J. Leonel Villavicencio, MD, Norman M

Leiomyosarcoma of the splenic vein

Loss of lymphatic vessels and regional lipid accumulation is associated with great saphenous vein incompetence Hiroki Tanaka, MD, Nobuhiro Zaima, PhD,

Improved characterization of popliteal aneurysms using gadofosveset-enhanced equilibrium phase magnetic resonance angiography Mauricio S. Galizia, MD,

Extension of saphenous thrombus into the femoral vein: A potential complication of new endovenous ablation techniques Geza Mozes, MD, PhD, Manju Kalra,

Aikaterini A. Angeli, MD, Dimitra A. Angeli, MD, Chryssanthi A

Regarding “The anatomy of the small saphenous vein: Fascial and neural relations, saphenofemoral junction, and valves” Alberto Caggiati, MD Journal.

Stylocarotid artery syndrome

Pediatric venous thromboembolism in relation to adults

Thomas J. Ward, MD, Michael L. Marin, MD, Robert A. Lookstein, MD

Patrick Z. McVeigh, PhD, Ahmed Kayssi, MD, Aaron Lo, MD, Dheeraj K

Sclerotherapy after embolization of draining vein: A safe treatment method for venous malformations Yunbo Jin, MD, Xiaoxi Lin, MD, Wei Li, MD, Xiaojie.

A case of intravascular epithelioid hemangioendothelioma occurring 14 years after coil embolization for an extracranial internal carotid artery aneurysm

The two-stage brachial artery–brachial vein autogenous fistula for hemodialysis: An alternative autogenous option for hemodialysis access Niren Angle,

Yang Liu, MM, Yan Sun, MM, Xing Jin, MD Journal of Vascular Surgery

Popliteal arterial aneurysm associated with Klippel-Trénaunay syndrome: Case report and literature review Daisuke Akagi, MD, Shigeyuki Ishii, MD, Takeshi.

Patrick Z. McVeigh, PhD, Ahmed Kayssi, MD, Aaron Lo, MD, Dheeraj K

Reviewer Acknowledgment

Incidence and clinical significance of distal embolization during percutaneous interventions involving the superficial femoral artery Russell C. Lam,

Deep vein obstruction and leg swelling caused by femoral ganglion

Intrathoracic carotid bifurcation in Klippel-Feil syndrome

Sclerotherapy after embolization of draining vein: A safe treatment method for venous malformations Yunbo Jin, MD, Xiaoxi Lin, MD, Wei Li, MD, Xiaojie.

Splenic malformation in a patient with Klippel-Trenaunay syndrome: A case report Ravul Jindal, FRCS, Rebecca Sullivan, BSc, MBBS, Bruce Rodda, MBBS, Dhilanthy.

Clinical presentation and vascular imaging in giant cell arteritis of the femoropopliteal and tibioperoneal arteries. Analysis of four cases Federico.

Regarding “Venous ulcers and the superficial venous system”

Hemodynamic impairment, venous segmental disease, and clinical severity scoring in limbs with Klippel-Trenaunay syndrome Konstantinos T. Delis, MD, PhD,

Aditya Agrawal, MS, FRCS, Richard Whitehouse, MD, FRCS, Robert W

Adventitial cystic disease of the femoral vein in a 5-year-old boy mimicking deep venous thrombosis Douglas W. Jones, MD, Combiz Rezayat, MD, Patricia.

Superficial venous aneurysms of the small saphenous vein

Susan Stevenson, MB ChB, Vijay Ramani, MS, Akhtar Nasim, MD

Presentation transcript:

Lymphatic malformation is a common component of Klippel-Trenaunay syndrome Ning-Fei Liu, MD, PhD, Qing Lu, MD, Zhi-Xin Yan, MD Journal of Vascular Surgery Volume 52, Issue 6, Pages 1557-1563 (December 2010) DOI: 10.1016/j.jvs.2010.06.166 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 (a) A 12-year-old boy with enlarged left lower extremity and skin port wine stain. (b) Coronal T2-weighted MR image of left leg shows numerous dilated intramuscular blood vasculature (arrows). (c) MR lymphangiogram shows a few enhanced lymphatic vessels (large arrow) in the distal part and a varicose vein (arrow head) in the lateral part of the left lower leg. Note enhanced lymphatic vessels in the contralateral asymptomatic limb (small arrows). (d) Axial section of T2-weighted MR image shows edema fluid (high signal intensity) dispersing within significantly hypertrophic subcutis of the affected lower limb. Journal of Vascular Surgery 2010 52, 1557-1563DOI: (10.1016/j.jvs.2010.06.166) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 (a) A 27-year-old woman with extensive skin port-wine staining and enlarged left lower extremity. (b) No lymph node was identifiable in the inguinal region of the left side in contrast with clearly visualized lymph nodes (arrow) on the right side on coronal T2-weighted MR images. (c) Fine lymphatic vessels (arrows) found in the distal region of lower leg on MR lymphangiogram. (d) Axial section of T2-weighted MR image shows hypertrophy of subcutaneous tissue and edema fluid accumulated in the subcutis of the left lower extremity. Journal of Vascular Surgery 2010 52, 1557-1563DOI: (10.1016/j.jvs.2010.06.166) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 (a) A 34-year-old man with chief clinical features of KTS, including skin port wine stain and hypertrophy of the left lower limb. (b) Axial section of T2-weighted MR image shows hypertrophy of subcutaneous tissue and edema (high-signal intensity) in the whole subcutaneous layer. (c) No inguinal lymph nodes were visualized on the left side in contrast with lymph nodes (arrowheads) visualized on the contralateral side on coronal T2-weighted MR image. (d) Composition image of MR lymphangiogram shows numerous hyperplastic lymphatic vessels (arrowheads) and enlarged deep vein (arrow). Journal of Vascular Surgery 2010 52, 1557-1563DOI: (10.1016/j.jvs.2010.06.166) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 (a) A 26-year-old woman with enlarged and shortened left lower extremity. (b) Composition image of MR lymphangiogram shows numerous significantly enlarged lymphatic channels with cystic dilatation (arrows). (c) MR lymphangiogram shows enlargement of inguinal lymph nodes on the left side with partial (in cortical region) contrast enhancement (arrow). (d) Coronal T2-weighted MR image shows macrocystic lymphatic malformations (arrow) in the popliteal fossa of the left lower extremity. (e) Axial section of T2-weighted MR image shows thickness and edema of the subcutis (high signal intensity) of the left lower limb. Note intramuscular accumulation of edema fluid (arrow). Journal of Vascular Surgery 2010 52, 1557-1563DOI: (10.1016/j.jvs.2010.06.166) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 (a) A 15-year-old girl with enlarged and longer right lower extremity. (b) MR lymphangiogram shows the poorly contrast-enhanced inguinal lymph nodes (arrowhead) with increased size and number on the right side. (c) Composition image of MR lymphangiogram shows hyperplastic lymphatic vessels (large arrows) and enlarged superficial veins (small arrows) of the right lower extremity. (d) Coronal T2-weighted MR image shows increased intramuscular blood vessels (arrows) of right lower limb. (e) Axial section of T2-weighted MR image shows hypertrophy and edema of subcutaneous tissue. Note more edema fluid accumulated superficially encircling the deep fascia of the right lower extremity. Journal of Vascular Surgery 2010 52, 1557-1563DOI: (10.1016/j.jvs.2010.06.166) Copyright © 2010 Society for Vascular Surgery Terms and Conditions