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Vascular Anomalies: LVM, CLVM, Klippel-Trenaunay Syndrome, CLOVES

Learn about various vascular anomalies including LVM, CLVM, Klippel-Trenaunay syndrome, and CLOVES. Understand the risk of ectasia and the importance of vascular imaging and compression stockings.

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Vascular Anomalies: LVM, CLVM, Klippel-Trenaunay Syndrome, CLOVES

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  1. LVM: lymphatic venous malformation, CLVM: capillary lymphatic venous malformation = Klippel-Trenaunay syndrome, CLOVES: congenital lipomatous with vascular anomalies, epidermal nevus and spinal/skeletal/scoliosis

  2. LEGEND: LVM: lymphatic venous malformation, CLVM: capillary lymphatic venous malformation = Klippel-Trenaunay syndrome, CLOVES: congenital lipomatous with vascular anomalies, epidermal nevus and spinal/skeletal/scoliosis

  3. Additional Suggestions -> High Risk • Ectasia: - Enlarged veins with slow flow and concerning risk for thromboembolism on imaging by radiologist or on physical examination by vascular anomalies expert. - Appropriate vascular imaging to rule out ectasia is highly recommended in patients with overgrowth syndromes and vascular anomalies (e.g. KTS, CLOVES). - If venous ectasia has been corrected (endovenous laser or device) or removed, risk of thromboembolism is back to baseline. If caval filter is in place, we recommend peri-procedural anticoagulation until filter is removed. • Compression stockings: - Graduated compression stockings are highly encouraged.

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