Vascular malformations

Treating Vascular Malformations with Image-Guided, Minimally Invasive Care

Vascular malformations are abnormal clusters of blood vessels that develop during birth and grow slowly over time. They can occur anywhere in the body and may cause pain, swelling, skin discoloration, bleeding, or functional problems depending on their location. Many patients struggle for years because these malformations often do not respond to medicines or simple treatments. Modern interventional radiology offers precise, minimally invasive options to control symptoms and improve appearance safely.
Vascular malformations can be venous, lymphatic, arteriovenous, or mixed in nature. Each type behaves differently and requires a tailored approach. The first step is a detailed evaluation using ultrasound or MRI to understand the structure and flow pattern inside the malformation. Once diagnosed, the doctor can plan targeted treatment that focuses only on the abnormal vessels while protecting healthy tissues.
One of the most effective treatments is image-guided sclerotherapy. Through a tiny needle inserted into the malformation, a specialised medication is injected to shrink or seal the abnormal vessels from within. This reduces swelling, pain, and the risk of bleeding. The procedure is performed with real-time imaging to ensure accuracy and patient safety. For arteriovenous malformations with higher blood flow, embolisation may be used to block the abnormal connections and control symptoms.
These procedures are done through pinhole access, without major cuts or stitches. Most patients experience minimal discomfort and can return home the same day. Depending on the size and complexity of the malformation, multiple sessions may be required to achieve the best long-term results. Over time, patients often notice improved function, reduced pain, and better cosmetic outcomes.
If you have a vascular malformation that causes symptoms, changes in appearance, or affects daily activities, early assessment is important. Interventional radiologists can provide you tailored treatment options as per the location and severity. Minimally invasive treatments like sclerotherapy and embolisation offer safe and effective options to manage these conditions, prevent complications, and improve overall quality of life.

Uterine fibroids are common benign growths in the uterus that can cause a wide range of symptoms — from heavy menstrual bleeding and pelvic pain to bloating and pressure on the bladder or bowel. Many women are told surgery is the only answer, but that’s not always the case. Uterine Fibroid Embolisation (UFE) is a safe, effective, and uterus-preserving option that treats fibroids without the need for hysterectomy or myomectomy.

This procedure is performed through a tiny puncture in the groin or wrist. Using real-time imaging, a thin catheter is guided into the uterine arteries that supply the fibroids. Once in position, small particles are delivered to block blood flow to the fibroids. Without a blood supply, the fibroids gradually shrink, and symptoms begin to improve in the weeks and months that follow.

UFE is ideal for women who wish to avoid major surgery, retain their uterus, or need a faster recovery. It can also be considered for patients who are not suitable for surgery due to medical conditions or personal preferences. Most procedures are done under local anaesthesia with sedation, and patients usually return home the same day or after an overnight stay. Compared to surgical options, UFE involves less pain, fewer complications, and a significantly shorter recovery period.

Patients often report a noticeable improvement in symptoms within the first two to three menstrual cycles. The fibroids continue to shrink over time, and in most cases, the results are long-lasting. UFE does not involve any surgical cuts or stitches, and the uterus remains structurally intact. While fertility after UFE is possible, it is a topic best discussed during consultation, based on individual goals and medical factors.

If you’ve been advised to undergo surgery for fibroids, or are seeking a second opinion, UFE may offer the clarity and comfort you’re looking for. With the right guidance, you can make an informed decision that prioritises both your health and your preferences.

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