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Percutaneous Sclerotherapy of Large Venous Malformations Using Consecutive Polidocanol and Bleomycin Foam: MR Imaging Volumetric and Quality-of-Life Assessment.
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- Author(s): Fraissenon A;Fraissenon A;Fraissenon A; Fortin F; Fortin F; Fortin F; Durous V; Durous V; Chauvel-Picard J; Chauvel-Picard J; Chauvel-Picard J; Gleizal A; Gleizal A; Gleizal A; Viremouneix L; Viremouneix L; Cabet S; Cabet S; Guibaud L; Guibaud L
- Source:
Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2024 Jan; Vol. 35 (1), pp. 127-136.e1. Date of Electronic Publication: 2023 Sep 11.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: Society of Cardiovascular and Interventional Radiology Country of Publication: United States NLM ID: 9203369 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1535-7732 (Electronic) Linking ISSN: 10510443 NLM ISO Abbreviation: J Vasc Interv Radiol Subsets: MEDLINE
- Publication Information: Original Publication: Reston, Va. : Society of Cardiovascular and Interventional Radiology, c1990-
- Subject Terms: Sclerotherapy*/adverse effects ; Sclerotherapy*/methods ; Vascular Malformations*/diagnostic imaging ; Vascular Malformations*/therapy; Male ; Humans ; Adolescent ; Polidocanol ; Retrospective Studies ; Sclerosing Solutions ; Bleomycin/adverse effects ; Quality of Life ; Veins/abnormalities ; Magnetic Resonance Imaging ; Treatment Outcome
- Abstract: Purpose: To retrospectively evaluate sclerotherapy using consecutive polidocanol and bleomycin foam (CPBF) for large untreated venous malformations (VMs) and/or those resistant to prior treatment.
Materials and Methods: This retrospective study included all patients treated with CPBF for untreated VMs larger than 10 mL and/or refractory to treatment between May 2016 and October 2019. Baseline and follow-up VM volumes were measured on fat-suppressed T2-weighted magnetic resonance (MR) imaging. Outcome was evaluated on postprocedural MR imaging volumetry and by a retrospective survey assessing clinical response and adverse events. Imaging response was considered good for volume reduction from 50% to 70% and excellent for volume reduction ≥70%. Symptoms and quality-of-life (QoL) scores were compared before and after CPBF sclerotherapy.
Results: Forty-five patients (mean age, 16 years; range, 1-63 years; 25 males) with 57 VMs were analyzed and treated by 80 sclerotherapy. Sixty percent (27 of 45) of patients had undergone prior treatment for VM. Median VM volume was 36.7 mL (interquartile range, 84 mL) on pretherapy MR imaging. Good and excellent results after the last sclerotherapy were achieved in 36% (16 of 45) and 29% (13 of 45) of patients, respectively, corresponding to a decrease of >50% in 60% (34 of 57) of VMs. QoL score increased by at least 3 points, regardless of initial symptoms. Most patients did not desire additional sclerotherapy owing to near complete symptomatic relief, even for patients who did not achieve a good response. Swelling, pain, and motor impairment scores significantly improved after CPBF. Adverse events included fever (44%, 15 of 34) and nausea/vomiting (29%, 10 of 34).
Conclusions: CPBF sclerotherapy represents an effective therapy for large and/or refractory VMs with minimal adverse events.
(Copyright © 2023. Published by Elsevier Inc.) - Accession Number: 0AWH8BFG9A (Polidocanol)
0 (Sclerosing Solutions)
11056-06-7 (Bleomycin)
3055-99-0 (dodecylnonaoxyethylene glycol monoether) - Publication Date: Date Created: 20230913 Date Completed: 20240102 Latest Revision: 20240220
- Publication Date: 20240220
- Accession Number: 10.1016/j.jvir.2023.09.004
- Accession Number: 37704038
- Source:
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