The Center is the only place for the diagnosis, treatment, training and research of congenital vascular diseases in Lithuania and the Baltic States. We provide services for Lithuanian and foreign patients with congenital vascular diseases.
Congenital vascular abnormalities are congenital defects of blood vessels (arteries, veins, lymphatics, capillaries) that can occur at various stages of life (from birth to old age). These diseases are rare and very diverse, can damage any part of the body or an organ. Their clinical manifestation can range from limited derivatives to very widespread forms, from asymptomatic to life-threatening conditions.
The Center of Congenital Vascular Anomalies treats a very wide range of congenital vascular anomalies.
There are two main forms of congenital vascular anomalies (CVA):
- Combined (venous-arteriovenous, venous-arteriovenous-lymphatic, venous-lymphatic-capillary, venous-arteriovenous-lymphatic-capillary, etc.).
- Syndrome forms (when CVA is associated with other congenital defects).
- Most commonly infantile hemangioma,
- Uncommon - congenital haemangioma,
Other rare vascular tumors (caposiform hemangioendothelioma, epitheloid hemangioma, pyogenic granuloma, etc.).
The two pathologies are often confused with each other, although their etiology, pathogenesis, developmental course, and treatment tactics differ greatly. Therefore, a good diagnosis is necessary to apply the right treatment.
Assessing the diversity of CVA in terms of both onset, localization, and symptomatology and age, its diagnostic and treatment process can only be successful with the participation of a multidisciplinary team. The disease can progress throughout life, so constant monitoring of the patient and constant staged or repeated treatment is necessary.
The Center of Congenital Vascular Anomalies at VUH Santara Clinics was established on June 25, 2012. The team of the center at that time consisted of doctors: vascular surgeons, pediatric surgeons, dermatovenereologists, cardiologists, radiologists and interventional radiologists, ophthalmologists, geneticists, plastic reconstruction surgeons, pediatric surgeons, orthopedists-traumatologists. Center coordinator - dr. Birutė Vaišnytė.
Over the last 8 years, new specialists have joined the team: urologists, abdominal surgeons, chest surgeons, hematologists, neonatologists, psychologists, social workers. In this way, the possibilities for the diagnosis and treatment of congenital vascular anomalies have expanded.
The Center provides a wide range of outpatient and inpatient services. We offer consultations of all specialists necessary for the diagnosis and treatment of rare vascular pathologies: vascular surgeons, pediatric surgeons, dermatologists, orthopedists, geneticists, neurosurgeons, maxillofacial surgeons, plastic surgeons, radiologists, cardiologists, pathologists, cardiologists, cardiologists, cardiologists, cardiologists, ophthalmologists, otorhinolaryngologists, hematologists, obstetricians-gynecologists, neonatologists, rehabilitators, psychologists, and social workers.
The Center uses the most advanced diagnostic and treatment technologies: dynamic contrast magnetic resonance angiography (DCE-MRA) - for the diagnosis and differential diagnosis of vascular abnormalities, post-treatment control; transarterial perfusion pulmonary scintigraphy (TLPS) - for the assessment of arteriovenous drainage in arteriovenous malformations, interventional angiography, computed tomography angiography (CTA), vascular double scanning, genetic testing, complex surgical operations for highly spread intravascular arteriovenous malformations, intramuscular malformations, endovascular treatment of congenital vascular abnormalities, combined surgical and endovascular treatment, laser therapy. We provide psychological and social assistance for patients. In this center, patients of all ages are treated and monitored throughout their lives.
- B. Vaišnytė. Įgimtų arterioveninių malformacijų endovaskulinio ir chirurginio gydymo rezultatai (2012).
- G. Pošiūnas. Gydymo ilgo pulso Nd:YAG lazeriu įtakos įgimtų hemangiomų vystymuisi palyginamosios studijos įvertinimas.
- A. Strumila. Vaikų hemangiomų prognozės ir gydymo veiksmingumo vertinimas infraraudonųjų spindulių termografija (2018).
- International e-Delphi consensus study OVAMA (Outcome measures for Vascular Malformations) research project. B. Vaišnytė.
- Evaluation of a comparative study of the influence of long pulse Nd: YAG laser treatment on the development of congenital hemangiomas. G. Pošiūnas 2013-2017.
- Biomolecular studies of vascular malformations. A. Kielaitė-Gulla, D. Bironaitė, B. Vaišnytė.
Congenital vascular malformation before treatment (left) and after combined endovascular and surgical treatment and plastic surgery (right).
Angiographic image of congenital vascular malformation before treatment (left 1,2), after treatment (right).