Symptoms usually derive from malformation growth or progression. Once symptoms occur, they rarely abate without intervention.
Symptoms can include, but are not limited to, the following:
Decreased Range of Motion
Evaluation and treatment of the venous malformation every 4-6 weeks or sooner if indicated by Dr. Yakes.
Patient may qualify for multiple procedures a week if requested by Dr. Yakes.
MRI every 6-12 months based on the extent of the venous malformation for evaluation of treatment progress.
Referral to plastic/vascular surgeon following "cure" of malformation. An MRI 3-6 months post embolization will be needed for clearance by Dr. Yakes for debulking surgery.
How to Diagnose
Diagnosis is commonly made with a form of radiology imaging combined with a clinical assessment.
Radiology imaging can include:
Magnetic Resonance Imaging (MRI)
MRIs are the gold standard
Venogram (Mapping of the Veins)
On initial treatment only:
Arteriogram (Mapping of the Arteries)
Rules out arterial involvement
Possible Complications of Treatment
Nerve Injury Due to Swelling
99% improves when swelling resolves
1% nerve damage will be permanent
Complications will be thoroughly discussed during formal consultation with medical staff as they may differ based on anatomical location.
How We Treat
Dr. Yakes will inject ethanol using direct puncture techniques into the venous malformation.
Ethanol is a powerful sclerosing agent that denatures blood proteins and destroys the endothelial cells in the vessel wall effectively destroying the abnormal vascular mass and preventing its ability to regenerate.
Ethanol is the only curative method for treating venous malformations.
All embolizations, venograms, and arteriograms are done under general anesthesia.