Direct puncture venography in subcutaneous cavernous haemangiomas

Troughton, Alf; Paxton, R.M.

doi:10.1016/s0009-9260(05)80008-x

Cited by 10 publications

(1 citation statement)

References 9 publications

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“…The radiopacity of the contrast media mixed with ethanol for percutaneous sclerotherapy or direct puncture venography is beneficial for monitoring procedures and the contrast media shows the distribution of the ethanol injected into the lesions (18, 27). After injection, ethanol sclerotherapy requires extended contact with the endothelial lining to cause disruption of the endothelium, intense inflammatory reactions and blood coagulation (1, 4, 16, 21).…”

Section: Discussionmentioning

confidence: 99%

Ethanol Sclerotherapy for the Management of Craniofacial Venous Malformations: the Interim Results

et al. 2009

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ObjectiveWe wanted to evaluate the safety and feasibility of ethanol sclerotherapy for treating craniofacial venous malformations (CVMs).Materials and MethodsFrom May 1998 to April 2007, 87 patients (40 men and 47 women; age range, 2-68 years) with CVMs underwent staged ethanol sclerotherapy (range, 1-21 sessions; median number of sessions, 2) by the direct puncture technique. Clinical follow up (range, 0-120 months; mean follow up, 35 months; median follow up, 28 months) was performed for all the patients. Therapeutic outcomes were established by evaluating the clinical outcome of the signs and symptoms in all patients, as well as the degree of devascularization, which was determined on the follow-up imaging, in 71 patients.ResultsA total of 305 procedures with the use of ethanol were performed in 87 patients. Follow-up imaging studies were performed for 71 of 87 patients. Twenty-three (32%) of the 71 patients showed excellent outcomes, 37 patients (52%) showed good outcomes and 11 patients (16%) showed poor outcomes. Ethanol sclerotherapy was considered effective for 60 patients. All the minor complications such as bulla (n = 5) healed with only wound dressing and observation. Any major complication such as skin necrosis did not develop.ConclusionPercutaneous ethanol sclerotherapy is an effective, safe treatment for CVMs.

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