Sclerotherapy of voluminous venous malformation in head and neck with absolute ethanol under digital subtraction angiography guidance

التفاصيل البيبلوغرافية
العنوان: Sclerotherapy of voluminous venous malformation in head and neck with absolute ethanol under digital subtraction angiography guidance
المؤلفون: Y.A. Wang, Huaming Zhu, Jinghao Zheng, Z.Y. Zhang, Y. He, Weimin Ye
المصدر: Phlebology: The Journal of Venous Disease. 25:138-144
بيانات النشر: SAGE Publications, 2010.
سنة النشر: 2010
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Adolescent, medicine.medical_treatment, Severity of Illness Index, Veins, Anatomical space, Lesion, Young Adult, Sclerotherapy, medicine, Humans, Head and neck, Retrospective Studies, Ethanol, medicine.diagnostic_test, business.industry, Vascular malformation, Angiography, Digital Subtraction, Magnetic resonance imaging, Phlebography, General Medicine, Digital subtraction angiography, medicine.disease, Sclerosing Solutions, Treatment Outcome, Female, Radiology, medicine.symptom, Cardiology and Cardiovascular Medicine, business, Venous malformation, Head, Neck
الوصف: Objectives Venous malformation (VM) is the most common symptomatic low-flow vascular malformation, which predominantly occurs in the head and neck region. The aim of this paper was to evaluate the results of endovascular sclerotherapy of voluminous VM, when the lesion is either ≥15 cm in maximum diameter or the lesion invades more than one anatomical space, in the head and neck region using absolute ethanol under digital subtraction angiography (DSA) guidance. Methods A total of 23 patients with head and neck VMs between October 2005 and December 2008 were retrospectively reviewed. All patients received direct puncture ethanol sclerotherapy under DSA guidance. Follow-up assessments were performed at 3–25 months after therapies were completed, and complications were reported in some cases. Results All patients were satisfied with the results of therapy. Seventeen patients (73.9%) achieved excellent responses and six patients (26.1%) achieved good responses in magnetic resonance imaging assessments. Minor complications developed during the procedures, all of which were successfully managed with full recovery during follow-ups. Serious complications such as acute pulmonary hypertension, cardiovascular collapse and pulmonary embolism were not encountered. Conclusion It is concluded that sclerotherapy with absolute ethanol under DSA guidance is an important alternative therapy for voluminous and extensive VM, as the procedure is reasonably safe and offers good therapeutic results.
تدمد: 1758-1125
0268-3555
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b6650d218e59f29e3eee9a911148b1c3Test
https://doi.org/10.1258/phleb.2009.009019Test
حقوق: CLOSED
رقم الانضمام: edsair.doi.dedup.....b6650d218e59f29e3eee9a911148b1c3
قاعدة البيانات: OpenAIRE