Vascular Malformations (Vascular Anomalies) Clinic

Patient information

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Vascular malformations are abnormal blood vessels or lymph vessels. They can appear as a birthmark, lump, swelling or skin discolouration. The Alfred Vascular Malformations (Vascular Anomalies) Clinic in Melbourne provides assessment and minimally invasive, image-guided treatment such as sclerotherapy and embolisation.

What we do

A specialist interventional radiologist will see you in clinic, review your history and scans, examine you and discuss whether treatment is right for you. If your condition is better managed by another specialist team (for example with medication or surgery), we will talk this through with you and help arrange the right referral.

Who we care for

We care for people with suspected or diagnosed vascular malformations, including:

  • Arteriovenous malformations (AVMs) and arteriovenous fistulas (AVFs) - “high-flow”
  • Venous malformations - “low-flow”
  • Lymphatic malformations - “low-flow”
  • Venolymphatic malformations - “low-flow”

You may be referred if your vascular malformation is causing pain, swelling, bleeding, reduced function or cosmetic concerns.

Treatments we offer

Sclerotherapy

Sclerotherapy is an image-guided injection of medicine directly into the malformation. This helps the abnormal vessels close off and shrink over time.

Embolisation

Embolisation is a minimally invasive (“keyhole”) procedure that blocks selected blood vessels to reduce blood flow to the malformation. It is performed using a very small tube (catheter) guided through the blood vessels using X-ray imaging.

What to expect

Sclerotherapy and embolisation are usually performed under general anaesthetic or deep sedation with a specialist anaesthetist. The procedure typically takes 1 to 2 hours.

Most patients go home the same day after 4 to 6 hours of recovery. Swelling and temporary discomfort around the treated area is common and usually settles over 2 to 3 weeks. Recovery is usually around 2 weeks.

Vascular malformations often require more than one treatment session. Your interventional radiologist will explain what is likely for you.

Commonly asked questions

How long will it take to recover from the procedure?

Most patients are discharged the same day, after 4 to 6 hours of observation and recovery.

Do I need someone to collect me after the procedure?

Yes. A friend or family member will need to collect you from the hospital.

Will I be asleep during the procedure?

These procedures are usually performed under general anaesthetic or deep sedation with a specialist anaesthetist.

Do I need a referral?

Yes. You need to be referred to us by your GP or specialist.

What will the cost be?

There is normally no out-of-pocket cost to public eligible patients.

How to access this clinic

Referral from your GP

You need an online eReferral from your GP or medical practitioner to access this service. Your doctor will need to send your referral to us using our online system - Consultmed eReferral. We will contact you to arrange an appointment time.

What to bring

For a clinic appointment

  • Previous ultrasound, X-ray, CT or MRI results (reports and images if available)
  • Records of consultations with other specialists (if you have them)
  • A list of your current medications
  • Medicare card and any other healthcare cards

Clinic times

Day Campus Time
Monday The Alfred 1:30pm - 4:00pm
Wednesday The Alfred 1:30pm - 4.00pm

Clinic consultants

  • Dr Tuan Phan: Interventional Radiology
  • Dr Matthew Lukies: Interventional Radiology
  • Dr Georgina Venn: Interventional Radiology
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