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Patient satisfaction after sclerotherapy of venous malformations in children

Kengo Nakahata1, Shuichiro Uehara1, Masahiro Zenitani1

  • 1Departments of Pediatric Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society
|December 15, 2015
PubMed

Insights

Percutaneous sclerotherapy effectively treated pediatric venous malformations (VMs), significantly reducing symptoms like swelling and pain. Most young patients reported satisfaction with the long-term outcomes of this safe and effective procedure.

Area of Science:

  • Vascular Surgery
  • Pediatric Interventional Radiology
  • Dermatology

Background:

  • Percutaneous sclerotherapy is used for pediatric venous malformations (VMs).
  • Long-term outcome data are needed for patient and parent counseling.
  • This study evaluates long-term patient satisfaction after percutaneous sclerotherapy for VMs.

Purpose of the Study:

  • To retrospectively assess long-term patient satisfaction.
  • To evaluate the effectiveness of percutaneous sclerotherapy for pediatric VMs.

Main Methods:

  • 53 pediatric patients (<16 years) with VMs underwent sclerotherapy.
  • Sclerotherapy agents included polidocanol, absolute ethanol, or ethanolamine oleate (EO).
  • 50 patients received self-assessment questionnaires; 42 (84%) responded.

Main Results:

  • Median follow-up was 1.8 years; median 2 sessions per patient.
  • Significant symptom improvement reported: less pain (82%), functional limitation (78%), swelling (70%), and cosmetic disfigurement (59%).
  • 71% of patients were satisfied or very satisfied; none reported worsening symptoms.

Conclusions:

  • Percutaneous sclerotherapy is a safe and effective treatment for pediatric VMs.
  • The procedure significantly alleviates symptoms and improves quality of life.
  • High patient satisfaction rates support its use in pediatric venous malformations.
Abstract

Keywords:
pediatric interventionperipheral venous malformationsquestionnaireradiologysatisfaction

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