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venous malformation

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Topic Title: venous malformation
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Created On: 02/22/2001 01:15 PM

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 02/22/2001 01:15 PM
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notshown

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My 3yr old granddaughter had schelotherapy for a venous malformation in her leg. She had a reaction to the alcohol injection causing compartment syndrome resulting in a fasciotomy(sp) resulting in nerve damage to her foot. Has anyone had this happen? What about muscle damage after surgery to remove a vm in the calf of the leg? That's next and we are told that could happen, too. She had also had bleeding in her ballder after the surgery, no cause determined other than the alcohol. Why is this used if it causes so much damage?
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 08/10/2001 08:45 AM
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Pat13831

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My granddaughter has been diagnosed with venous malformation and I don't know what that is. I know she is scheduled today for an MRI and will be going to Childrens Hospital Boston, MA in September. She is only 8 months old. What information does anyone have?
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 09/02/2001 01:42 PM
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Karin14406

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Hi, I want to join this discussion because i have the diagnose "venous malformation". I have it on one of my leg, from the foot and all the way up. I dont know much about venous maliformation, so if anyone can give me some information about the "thing" I would be happy. My own experiences is that the treat is to weare a kompression-stocking. All surguries are dangerous because the are bleeading too much. If you have a "venous malformation" you are welcome to contact me.
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 09/04/2001 08:36 AM
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Pat13831

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I received the posting on the woman whose granddaughter had alcohol injections for venous malformation. I would like to know who diagnosed this and why, I am still unclear as to the treatment for this problem and what is schelotherapy? Please give me ant information you may have. Thank you.
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 08/21/2002 03:29 PM
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pimpc1972

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My name is Chris and I read your letter in a forum for persons with Venous Malformations. I am 29 years old and I have Vascular Malformations throughout my entire left leg. I have had a total of 5 surgeries on the leg. My first was at 8 years old, 14, 18 and twice when I was 24. The first was basically for cosmetic reasons due to my leg being a bluish green color in some areas. Later in life it began to affect me physically. Each surgery became more invasive than the next. The last two when I was 24 were very extensive. The surgeons told me they took half of my leg and that’s no exaggeration. Before, my leg was very large due to the masses of veins, and afterward it was smaller than my normal leg. After that surgery some of the skin died and a month later I had to be reopened and have that portion removed. I was off my leg for 2 months and needed therapy to learn how to walk again. The vascular surgeon told me that we might be able to do preventative care with Embolization but it was new and sounded kinda risky. Plus I was hoping that the last surgery had corrected my problem. Now 5 years later the venous masses have spread. It used to be located mostly in the lower thigh down to the lower calf. Now I have masses in the bottom of my foot (feels like walking on a marble sometimes) all the way up to my hip. I went to several vascular surgeons and was refered to others. Finally I found my current surgeon and talked with him about treatment. He said that he rarely cuts out the veins ( because it spreads) and prefers to use this embolization therapy through a catheter in your artery. Apparently this procedure has come a long way in the past 5 years. I had 2 MRI’s done and last week had another angiogram to get a good picture of the problem. Before the angiogram he said that he thought this would be AV Malformation an that I would need about 4 embolization treatments to correct the problem. (sounds a lot better than surgery!) I went to a follow up visit this morning to find out what the results were. It turns out that I do have 2 small AVM sites but that 95% of my problem is Venous Malformation and he couldn’t do catheter embolization on that type of malformation. He said that the embolization would need to be done directly into the veins through the skin. He has never done this and said he will not. He didn’t have a local surgeon to refer me to. He said that since this is a something he never see’s that his recommendation would be to go to the surgeon who deals with this the most in the USA. He recommended: Wayne Yakes 1800 Green Oaks Dr. Littleton, CO 80121-1537 303-788-4280 wayne.yakes@swedmc.com
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 11/04/2002 12:16 AM
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TLC17013

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I too have a venous malformation. It is located in my left leg. I have recently undergone 4 embolization procedures for this at a some what local hospital. If you have any specific quesions that you'd like to ask me you may.
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 11/19/2002 11:34 AM
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AndreaBT

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I have VM on left face (excluding forhead) and was always diagnosed as venous cavernous hemangioma until 3 yrs ago changed to venous malformation as it is continuing to spread behind eye , sinus, close to inner ear. I have read other emails on geocites forum of cases in the leg also just continuing to spread into torso & spine after treatments. I have been told by doctors in Toronto and Boston that they have no way of determining which vessels in your body are prone to expanding therefore they connot determine whether they can get all of it or whether it will just spread to new areas after treatment. I had many surgeries throughout childhood and 2 major embolization treatments with Dr. Berenstien in NYU in my 20's. Since then , my legion has increased particularly with my second preganacy ( My daughter) and with age ( I would say I started having more symptoms at 40 of pain and an infection which lead to the discovery that it had spread ) I only know of a John Battles who created the Vascular Anomalities web site previosly mentioned that has the same VM in his head. He also has continued spreading after treatments. I do not mean to discourage anyone , but I would say the case is not clear as to the long term benifits of treatments. Another well known doctor in the US is Dr.Waner ( he has a web site) in Little Rock, Arkassas. I saw him at a clinic at Mass Gen in Boston and he indicated he could treat me. However I am currently balancing this with recommendiations from Dr. Burrows of Harvard and her associates that via email have indicated they do not necessarily agree with Dr. Waners agressive approach .....so you see you must get as informed as possible before making decisions... I feel I have not found who is collecting the most data of adult patients after treatment. However bad my condition may be I am aware it can be much worse by spreading to new areas....treatment in itself can be like trauma to the legion. This is NOT the case for hemaniomas aparently so it is important to make the distinction. I will check the Dr. Yakes sight and thank you for sharing your case. Anyone with VM similar to cavernous venous hemangioma I would appreciate hearing from as I continue research, esp adult females on the face. Thank you everyone and good luck to all seeking treatments.
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 02/22/2003 08:49 PM
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conjuncta

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Concerning Alcohol Injection or 'sclerotherapy' as treatment for venous malfomations. I underwent this treatment this past December for a malformation on my right leg. The treatment, to the best of my knowledge, is perfomred with the belief that venous malformations could be treated in the same way that Vericose Veins are treated. My expeience has NOT demonstrated that, and in fact the trauma caused by the alcohol injection has only caused the malformation to grow in size.
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 02/25/2003 08:42 AM
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AndreaBT

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I have recently seen Dr. Terrberge at Toronto Western Hospital in Torontoand he has informed me that they are looking into a new treatment which is supposed to have a much higher rate of success than injecting alcohol....they inject a anti cancer drug.Dr. Terrgberge is affiliated with Dr. Berenstein in NY and Dr. Patricaia Burrows in Boston.
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 03/14/2003 01:32 AM
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jodi123

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where did you ahve this done? I am on my way to see Wayne Yakes for the same problem. What went wrong? Will you loose your extremity? i must know what can go wrong before i get there.
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 08/15/2003 02:28 PM
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BS

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Hi, I also have haemangioma in my left thigh. Embolization done so far doesnot seem to help me at all instead it is getting worse. My knee is slowly getting affected, My joint mobility is decreasing. I am getting really discouraged. Has any one been cured of Heamangioma or AVM? I have also been refered to Dr Yakes. Just wanted to hear some positive results of the treatment. I am having hard time living with the pain everyday and I am confused what to do, forget about the treatment ie embolization or go for it. It is not helping me much. Surgery is risky, I may be more disabled because of that. I am very very discouraged with my situation and hope to hear from you all. Thanks,
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 08/16/2003 12:28 AM
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BS

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Hi, Did the embolization process helped you?
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 12/14/2003 10:15 PM
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tinnochka

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I have a venous malformation in my right foot. I had sclerotherapy done twice. It offered relief from the horrific pain I used to experience at night, however.....Due to excessive edema that developed status post injections, I've developed neuropathy in my foot which led to hammer toes formation. Now, I am in pain from that. I'm contemplating having corrective surgery for that. However, my concern that the malformation might grow with time again, and I'll require more injections in the future and then I'll be back to square one. Wondering if anyone has a similar situation and how they dealt with it.
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 01/03/2004 02:49 PM
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HaleyT

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I have had several embolizms (3 to be exact) with Dr. Yakes and have wonderful results. I have a hemangioma inside my talus (ie. ankle bone)which almost collapsed my ankle. I had a very evasive surgery (no one new exactly what was wrong until they went in) with a wonderful orthopedic surgeon in Denver Dr. Wilkens. Dr. Wilkens had thought he removed the entire tumor(not knowing it was a hemangioma until the Mayo Clinic came back with their report), but unfortunately it grew back within a year. I was devistated since I had already suffered through 3 months on crutches and many more months of rehab, all while trying to get a college scholarship in track. Before Dr. Wilkens tried any other treatments, he sent me to Dr. Yakes. Three embolizms later, which spanned over two years, I have no more issues with my hemangioma. Five years have passed and I still have a couple pockets left, but they are not growing so no more embolisms are required. The only treatment is to have an MRI done every year to track the tumor. I think an important note is that at the time I met Dr. Yakes, I was a collegiate track athlete and was still able to compete after the embolizms. I was able to walk the day of surgery, though a little stiff and sore! I understand all cases are different, but I cannot stress enough how wonderful Dr. Yakes (and Dr. Wilkens!) have been. Dr. Yakes, his nurses, and support staff have always been caring and knowledgable. I would recommend him to anyone and everyone who needs him. I have slacked a bit and haven't had an MRI in 2 years, so I'll have to give Dr. Yakes a call!!! Good luck to everyone... I hope all your situations will work out as well as mine has. -Haley
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 01/11/2004 12:34 AM
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cindy3

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I have a daughter who in July was finally diagnosed properly with venous malformation. It covers her leg from the knee down around the foot. In July a surgery was performed at Boston Childrens, they performed embolization and alcohol injections, over a seven hour surgery. As the months have gone by she was doing better, but within 4 months after the surgery she has developed a stinging, numb feeling and she has noticed new and more increased pain in the ankle and around the foot. Does anyone know if this problem will continue too worsen as she gets older or if more surgeries will eventually repair any or all problems? Since we live in Illinois does anyone know of a good specialist in this field, a little closer to this area. Boston was wonderful, but the travel was difficult on her.
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 01/15/2004 07:56 PM
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pnicola2

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what your daughter may have is rsd a very painful chronic pain condition and she should get treatment very soon. i too have a malformation in my right leg and foot and had alchohol injections in denver by dr wayne yakes who i would highly recomend. but i live in chicago and i see a wonderful dr at the university of chicago named terry peabody he is excellent and very gentle and will help you with all of your concerns i would recomend calling his office and let him know that i recommended him.... jodi nicola
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 04/21/2004 05:36 PM
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Eurowrite

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I HIGHLY recommend Dr Wayne Yakes in Denver, Colorado. He is great and so is the rest of his staff. I just returned from my second treatment there for a vascular malformation in my left foot. These diseases should only be treated by extremely experienced Physicians. In my 27 years of life Dr Yakes has been the only Dr who knew what he was talking about and how to treat my vascular anomaly. I went to a highly esteemed Dr at the University of Washington, before Dr Yakes and the experience was a nightmare. I say, call Dr Yakes and get to him before you have to deal with lesser physicians who are just looking for a patient to experiment on. Take it from me and save yourself from the suffering. Call Dr Yakes! :-)
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 04/21/2004 05:52 PM
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Eurowrite

Posts: 10

Have you gone to Dr Yakes yet?
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 06/21/2004 12:54 AM
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nanbrank

Posts: 16

Hi, I have vascular malformation in my left foot and had an ethanol embolization done by Dr. Yakes a few years ago. I had terrible (I mean terrible) stinging, numbness after the procedure. It was so bad that I was put on Neurotin ( a very high dose) for a few months which helped. This was prescribed by a podiatrist that consulted w/Dr. Yakes. Typically, the drug I believe is for epilepsy, but does well for nerve involvement. Then, I needed a surgery ( woman issues) and spoke to the head of the pain clinic at Lake Forest Hospital about my surgery and I mentioned my foot. He said that an epidural block after my surgery, if continued for two days, could solve my problem. It did! I still have numbness in some areas and a bit of tingling, but it isn't painful anymore. So, you might consult a pain clinic at a major hospital. They might be able to help. Good luck! NB
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 06/21/2004 01:05 AM
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nanbrank

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Reply to all posts about Dr. Yakes.... Yes, I had ethanol embolization. My left foot was very involved and a tumor (or whatever) had grown up into my foot (heel area) and around nerves. It got to the point where I could hardly walk and it was incredibly painful. I contacted several leading hospitals in the Chicago area and they all suggested I see Dr. Yakes. I did and after one treatment, I wear high heels. I still need more treatments, but until I am in pain, I will continue without more treatments. I highly recommend you contact him. The healing time for me was about a month, but worth it. I had residual pain and problems, but have had those taken care of through a pain clinic. If I need to, I will not hesitate to return to Colorado for treatment. I would not consider any other option. It is life saving. NB
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