Page 3 - News VLU 12 2025
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Vein & Lymphatic University
                                                       VLU voices


          New directions for
          venous practices


          Dr Laurra Ellis discusses new opportunities for
          the venous practices.  A pioneer in our field!

                                                     Dr Laurra Ellis













          https://youtu.be/m9h9iXQrcFI


          High Risk Hands: A 25-year
          Review of Adverse Outcomes
          in Hand AVMs




          This study presents a 25-year single-center
          retrospective analysis of 150 patients with
          hand arteriovenous malformations (AVMs)
          managed by a multidisciplinary approach.
          Sclerotherapy, which was performed in
          101 patients, showed varied success
          rates, with 80% of cases demonstrating
          50% devascularization, but carried a 39%
          adverse event rate. 28 patients would go
          on to require surgical amputation, despite
          intervention, due to complications of pain,
          bleeding, and necrosis. These findings
          highlight the complexity of hand AVMs   Fig 1 A 36-year-old female with left hand Type
                                               IIIb arteriovenous malformation (AVM). A, Initial
          and the need for individualized treatment   hand arteriography shows an AVM nidus on pham.
          alongside long-term follow-up. https://  B, Sclerotherapy of the AVM lesion using direct
          linkinghub.elsevier.com/retrieve/pii/S2213-  puncture. C, Complete obliteration of AVM was
                                               achieved after the injection of 15 mL of absolute
          333X(24)00360-3                      ethanol using a flow control technique with a blood
          Thank you                            pressure (BP) cuff.
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