Purpose:
Fibroadipose vascular anomaly (FAVA) is a recently described intramuscular vascular anomaly that replaces normal skeletal muscle with fibrofatty proliferation and phlebectasia causing pain and contractures. Cryoablation has recently emerged as a means of treating FAVA with favorable outcomes. The purpose of our study was to examine our FAVA patients with failed prior interventions who underwent cryoablation as second-line treatment.
Methods:
A retrospective review was performed of all cases of cryoablation for FAVA (diagnosed on imaging or biopsy) who had undergone prior treatment from October 2014 to October 2020 at the adult and children’s hospital. Preprocedure, intraprocedural, and, when available, follow-up imaging was reviewed. Electronic medical record and imaging review was performed to determine demographics, indication, prior treatments both interventional and surgical, symptoms, and clinical response.
Results:
There were 9 patients with 11 ablation procedures; 8/9 patients had decrease in pain. One patient with diffuse FAVA had worsening pain after ablation and was subsequently treated with sirolimus.
Conclusions:
FAVA can be difficult to treat with traditional methods such as sclerotherapy or surgical resection. Cryoablation has recently emerged as a promising treatment. Our experience suggests FAVA with failed prior interventions may respond favorably to cryoablation.
of the filter from the midpoint of the line drawn perpendicular to the long axis of the IVC on the completion venogram by the diameter of the IVC. Safety was assessed based on the complication rate (hematoma, infection, etc). Results: Transfemoral placements of IVC filters utilizing the overthe-wire technique had a lower deviation from the IVC midline (Mean ¼ 9.8%, Median ¼ 9.0%, Range ¼ 0%-19.3%) than those filters placed not utilizing the over-the-wire technique (Mean ¼ 19.9%, Median ¼ 19.9%, Range ¼ 0%-38%). There were no documented differences in the complications between the two groups. Conclusions: Utilizing the over-the-wire technique is a safe and effective way to deploy an IVC filter from a transfemoral approach, which demonstrates a 10.1% decrease in tilting of the filter away from the midline of the IVC lumen compared to the non-over-thewire technique.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.