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Percutaneous sclerotherapy for venous malformations using polidocanol under fluoroscopy
Hidefumi Mimura1, Susumu Kanazawa, Kotaro Yasui
1Department of Radiology, Okayama University Gradudate School of Medicine and Dentistry, Okayama 700-8558, Japan. h-mimura@ccmail.cc.okayama-u.ac.jp
Acta Medica Okayama
|December 18, 2003
Summary
Polidocanol percutaneous sclerotherapy, guided by X-ray fluoroscopy, effectively treats venous malformations, significantly reducing pain and improving cosmetic appearance with minor complications.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Dermatology
Background:
- Venous malformations (VMs) are congenital vascular anomalies that can cause pain, cosmetic concerns, and functional impairment.
- Traditional treatments for VMs have limitations, necessitating minimally invasive approaches.
Purpose of the Study:
- To evaluate the safety and efficacy of polidocanol-guided percutaneous sclerotherapy using X-ray fluoroscopy for treating VMs.
- To assess the outcomes of this procedure in terms of symptom resolution and complication rates.
Main Methods:
- A retrospective study of 16 patients with VMs of the limbs, head, and neck.
- Percutaneous sclerotherapy was performed using polidocanol under X-ray fluoroscopy guidance.
- Follow-up data was collected for 14 patients.
Main Results:
- Significant pain reduction was observed in 10 out of 11 patients with pain as a primary symptom.
- Cosmetic improvement was noted in two patients seeking treatment for aesthetic reasons.
- One patient with mouth bleeding experienced complete resolution of the symptom.
- No critical complications were reported; complications were minor.
Conclusions:
- Percutaneous sclerotherapy with polidocanol and X-ray fluoroscopy is a safe and effective treatment for venous malformations.
- The procedure demonstrates particular efficacy in pain management and offers good cosmetic outcomes.
- Repeat treatments are feasible, and fluoroscopic guidance is recommended for optimal results.