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|Cathay General Hospital, Taiwan (ROC)|
|Posters & Accepted Abstracts: Vasc Med Surg|
|Statement of the Problem: Treating extremities fast flow vascular malformation (FFVM, or AVM) is a catastrophe because of difficulties between bleeding control and perfusion restoration. By textbook, amputation is the gold standard for treating these dilemmas, and also is the final frustrating result of a serious of salvage procedures after tumor ablation. Methodology & Theoretical Orientation: The hybrid operation room (hybrid OR) is the combination of traditional operation table with advanced medical imaging devices such as angiography, CT or MRI scanner. These imaging devices enable navigation throughout the surgical process to prevent injury to normal tissues. In the other word, hybrid operation room is the navigation system of surgeon. A 26-year-old female patient suffered from left lower leg FFVM with the presentation of severe leg pain and numbness since one year. The symptoms and signs progressed after diagnosis. By image study, the vascular lesion compassed the popliteal artery, which made it hard to treat without limb vascular injury. Finally, we performed complete ablation of this vascular problem smoothly. First, we inserted stent graft with endovascular technique to protect the popliteal artery. Then we performed hybrid OR assisted open surgery to complete the procedure. Findings & Results: The post-operative course was quite smooth, and she received 3 times of sclerotherapy to prevent tumor recurrence after surgery. No deficit or complication happened after 6 months’ follow-up. Conclusion & Significance: The endovascular stent graft assisted surgery makes it possible to cure the FFVM without compromising limb vascularity.|
Jian-Jr Lee has his expertise in Plastic Surgery and passion in teaching Anatomy for college students. He is graduated from the Medical School of National Taiwan University, and completed his PhD program in the Graduate Institute of Anatomy and Cell Biology, National Taiwan University. He is major in treating hemangiomas and vascular malformations, trained by his mentor, Prof. Ming-Ting Chen, for more than one decade. Clinically, he developed new method for treating fast-flow vascular malformation under the assistance of hybrid OR. In basic study, he found a new model of the pathogenesis of hemangioma by the research of interaction between vascular endothelial growth factor receptor (VEGFR) and chaperone COSMC.
Email: [email protected]
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