Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 May;40(2):229-236.
doi: 10.1016/j.hcl.2023.12.002. Epub 2024 Jan 9.

Microsurgical Treatment for Arteriovenous Malformations in the Hand

Mitsunaga Narushima  1 , Makoto Shiraishi  2 , Chihena Hansini Banda  3 , Ryohei Ishiura  4
Affiliations
Review

Microsurgical Treatment for Arteriovenous Malformations in the Hand

Mitsunaga Narushima et al. Hand Clin. 2024 May.

Abstract

Vascular malformations in the extremities are a common site of occurrence; arteriovenous malformations (AVMs) are the least frequent of all vascular malformations, estimated at 5% to 20%. The first step in management is to perform a thorough clinical examination. Symptoms are assessed, and staging is performed using the Schobinger classification. Next, ultrasonography and contrast-enhanced computed tomography are used to confirm the diagnosis of AVM and to confirm the extent of the malformation. Surgery is the first-line treatment and reconstruction is performed. In cases where surgery is not feasible, embolization and sclerotherapy may be used to alleviate symptoms.

Keywords: Arteriovenous malformation; Classification; Flap planning; Flap thinning; Pure skin perforator.

PubMed Disclaimer

Conflict of interest statement

Disclosures Conflict of interests: None. Statement of financial disclosure: None of the authors have a financial interest in the discussed article. No funding was received for this article.