Back to Search
Start Over
Sclerotherapy of peripheral low-flow vascular malformations: technical aspects and mid-term clinical outcome
- Source :
- La Radiologia medica. 123(6)
- Publication Year :
- 2017
-
Abstract
- The therapeutical management of low-flow vascular malformations (LFVMs) is challenging because of high recurrence rate; multiple strategies have been proposed. This paper aims to report a single-center experience of direct puncture sclerotherapy of peripheral LFVMs, focusing on technical aspects and clinical outcome in mid-term follow-up. 16 patients have been treated for peripheral LFVMs (mean age 36.1 years), complaining mild pain, swelling of the region of interest, and cosmetic nuisance. Preprocedural US and MR were acquired; angiography performed only in doubt vascular supply. Standard procedure consisted of direct puncture of the nidus using 20–23 gauge needles under US guidance and injection of up to 15 ml foam of sodium tetradecyl sulphate under fluoroscopic guidance. Clinical and radiological follow-up were assessed at 1, 3, and 6 months. Lesions were localized: 8 in the upper and 5 the in lower limbs, 2 in the cheeks, and 1 in the vaginal labia. All procedures have been technically accomplished (100%). At 6 month follow-up, technical and clinical success were obtained in all cases, while radiological follow-up showed 81.2% (13 patients) complete vessels thrombosis after multiple sclerotherapy sessions. No major complications have been recorded; five patients (31.2%) referred minor complications. Sclerotherapy via direct puncture of LFVMs is a clinically effective procedure, well tolerated by patients, with reduced costs and mild minor complications rate; interventionalists should always clarify to the patients that multiple sessions would be performed and recurrences are expected at imaging follow-up despite clinical improvement.
- Subjects :
- Adult
Male
medicine.medical_specialty
Vascular Malformations
medicine.medical_treatment
Labia
Punctures
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Sclerotherapy
medicine
Humans
Radiology, Nuclear Medicine and imaging
Ultrasonography, Interventional
Neuroradiology
medicine.diagnostic_test
business.industry
Vascular malformation
Angiography
Interventional radiology
Extremities
General Medicine
Middle Aged
medicine.disease
Thrombosis
Sclerosing Solutions
Surgery
medicine.anatomical_structure
Treatment Outcome
Radiological weapon
Fluoroscopy
Female
business
Subjects
Details
- ISSN :
- 18266983
- Volume :
- 123
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- La Radiologia medica
- Accession number :
- edsair.doi.dedup.....5fada8aea5c71d3c81e454289cfb8076