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Limb Necrosis Caused by Sclerotherapy When Treating Venous Malformation
1Department of Hand Surgery, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
EJVES Short Reports
|September 1, 2017
Summary
Sclerotherapy for venous malformations can lead to severe complications like necrosis, even with polidocanol. This case highlights the critical need for expert centers in diagnosing and treating complex vascular malformations.
Area of Science:
- Vascular Surgery
- Pediatric Surgery
- Interventional Radiology
Background:
- Percutaneous interventional sclerotherapy is a common treatment for venous malformations.
- While generally effective, sclerotherapy carries risks of both mild and severe complications.
Purpose of the Study:
- To report a rare but severe complication of sclerotherapy for a pediatric venous malformation.
- To emphasize the importance of specialized centers for managing vascular anomalies.
Main Methods:
- A case report of a 1.5-year-old girl with a venous malformation of the vulva and inner thigh.
- Treatment involved sclerotherapy using polidocanol.
Main Results:
- Post-sclerotherapy, the patient developed pallor in the right foot and lower leg.
- Necrosis of the affected limb occurred a few days after the procedure.
Conclusions:
- Vascular malformations require accurate diagnosis and expert management.
- Complex cases necessitate treatment in specialized centers with extensive experience to mitigate severe complications.
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