The characteristics and outcomes of vascular abnormalities involving limbs in children: a retrospective analysis of 35 cases
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By
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Haiyin Zhou
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Xiangyu Yang
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Jialong Nie
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Zixiao Wang
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Ting Lei
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Kun Liu
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Guanghui Zhu
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July 14, 2026
Clinical Scorecard: Analysis of Limb Vascular Abnormalities in Pediatric Patients: A Retrospective Study of 35 Cases
At a Glance
| Category | Detail |
|---|
| Condition | Limb vascular abnormalities in pediatric patients |
| Key Mechanisms | Vascular malformations including venous malformation, arteriovenous malformation, lymphangioma, and intermuscular hemangioma |
| Target Population | Children aged ≤ 18 years with limb vascular abnormalities |
| Care Setting | Orthopedics Department of Hunan Children's Hospital |
Key Highlights
- 51.4% of patients were male; average age at surgery was 7.4 years
- Common clinical manifestations included localized masses (91.4%) and pain (54.3%)
- Surgical excision was performed on all cases with a complication rate of 11.4% and recurrence rate of 5.7%
- Pathological types included venous malformation (40.0%) and arteriovenous malformation (34.3%)
- Average postoperative follow-up period was 6.4 years
Guideline-Based Recommendations
Diagnosis
- Utilize imaging examinations such as ultrasound, MRI, and DSA for disease classification
Management
- Surgical resection is recommended for localized, well-demarcated limb vascular malformations
Monitoring & Follow-up
- Follow-up should be conducted for at least 3 months post-surgery
Risks
- Potential for complications such as finger extension restriction and local recurrence
Patient & Prescribing Data
Children diagnosed with limb vascular abnormalities
Surgical excision yields promising clinical outcomes with low recurrence rates
Clinical Best Practices
- Adhere to the ISVI-IUA consensus document diagnostic guidelines for vascular anomalies
- Consider individualized treatment approaches combining surgical and minimally invasive interventions
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