Hamburg classification

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 17.07.2021

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Definition
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Classification of angiodysplasias from 1989, which distinguishes between:

  • truncular and
  • extatrunkular angiodysplasias.

The truncal dysplasias affect the differentiated vascular tree. The extratrunkular dysplasias the remaining vascular areas. The extratruncular dysplasias arise from the remnants of the primitive vasculature. Capillary malformations are not included in this classification.

General information
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Type

Truncal dysplasia (ca.70%) Extratruncular dysplasia (ca.30%)
Hamburg classification of angiodysplasias (var. n. H.Nüllen et al. 2010)
predominantly arterial dysplasia

aplasia or obstruction

Dilatation

Infiltrative

Circumscribed

predominantly venous dysplasia

Aplasia or Obstruction

Dilatation

Infiltrating

Circumscribed

predominantly lymphatic dysplasia

Aplasia or Obstruction

Dilatation

Infiltrating

Circumscribed

predominantly arteriovenous fistulae

Deep AV fistula

Superior AV fistula

Infiltrating

Circumscribed

Combined vascular dysplasias

Art. and venous Shunts

Hemolymphatic with/without shunt

Infiltrating hemolymphatic

Circumscribed haemolymphatic

Literature
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  1. Nüllen H et al (2010) Varicosis in angiodysplasia. In: T Noppeney, H Nüllen Diagnosis and therapy of varicosis. Springer Medicine Publishing House Heidelberg S 160 -161

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Last updated on: 17.07.2021