Endovenous radiofrequency ablation and combined foam sclerotherapy treatment of multiple refluxing perforator veins in a Klippel-Trenaunay syndrome patient

Harrison, CC; Holdstock, Judy M; Price, B. A.; Whiteley, Mark S

doi:10.1177/0268355513496991

Cited by 13 publications

(6 citation statements)

References 3 publications

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“…In 2014, Harris et al showed that RFA can be safely and effectively used for obliteration of perforating veins in KTS patients. Data from this study showed a significant symptomatic improvement following staged and multimodal treatment of perforating veins that included RFA combined with sclerotherapy 84 .…”

Section: Treatmentmentioning

confidence: 67%

The Klippel-Trenaunay Syndrome

Markovic¹,

Passariello²

2017

JTAVR

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The Klippel-Trenaunay Syndrome (KTS) includes congenital, low flow vascular malformation(s) that leads to structural and functional anomalies of the vascular system characterized by variability of presenting symptoms and often unpredictable clinical course. Traditionally described pathognomonic triad of findings in KTS patients are capillary malformation, venous malformation, and bone and/or soft tissue hypertrophy. KTS frequently includes the presence of lymphatic malformation(s), as well. Historically, the management of KTS was hampered by the lack of understanding of underlying hemodynamics and pathophysiology responsible for development and progression of KTS symptoms, confusing nomenclature which characterized majority of the early literature discussing KTS, as well as by the absence of established guidelines for KTS management. A relatively recent advancement in the diagnostic and treatment modalities have resulted in better understanding of the pathophysiology and natural history of KTS and represents a fertile environment for improved management of these patients. Multidisciplinary approach and diagnostic algorithm utilized to distinguish vascular malformations from vascular tumors, arterio-venous lesions from low flow vascular malformations have been validated as clinically applicable for making an accurate anatomical and hemodynamic assessment of the lesions found in KTS and serve as a basis for proper treatment selection. It has to be emphasized that treatment of majority KTS patients is palliative and goal oriented. In this manuscript we describe diagnostic protocols and therapeutic algorithms which results in favorable outcomes with an acceptable complication rates in the management of this frequently challenging patient population.

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Section: Treatmentmentioning

confidence: 67%

The Klippel-Trenaunay Syndrome

Markovic¹,

Passariello²

2017

JTAVR

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“…Nevertheless, venous duplex ultrasonography helps to differentiate the involvement of venous or arterial component. The identification also helps to address the problem by various modes like radiofrequency ablation before the surgery to avoid intraoperative catastrophic complication [12]. If intramedullary involvement is noted, then it is wiser to have total knee replacement under navigation which precludes the use of an intramedullary femoral guide [3].…”

Section: Discussionmentioning

confidence: 99%

Vascular Malformation of Lower Limb Masquerading as Varicose Veins in a Patient with Rheumatoid Arthritis -Case Report and Literature Review

Dhanasekararaja

Soundarrajan

Rajkumar

et al. 2020

SN Compr. Clin. Med.

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We present a case of vascular malformation of the lower limb mimicking varicose veins. A 52-year-old female patient presented with bilateral severe arthritis of the knees due to rheumatoid arthritis. During total knee arthroplasty, there was a huge challenge in controlling the bleeding from large tortuous veins. Magnetic resonance venogram revealed vascular malformation involving the subcutaneous tissues. We present this case to highlight the need for a high index of suspicion whenever diffuse calcification involving soft tissue plane is noted in the radiographs. It is mandatory to do venous duplex ultrasonography for all patients with varicose vein and soft tissue opacities in the preoperative radiographs to prevent missing a vascular malformation before proceeding for surgery.

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“…Catheter-directed embolization using coils, particulates, or sclerotherapy may be performed in small arteriovenous fistulas [3]. Foam sclerotherapy and endovenous radiofrequency ablation may be performed for perforating venous insufficiency [22].…”

Section: Discussionmentioning

confidence: 99%

Klippel-Trenaunay syndrome in a patient presenting with venous stasis ulcer

Tural¹,

Bilgi²,

Coşkun³

2018

Journal of Surgery and Medicine

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Klippel-Trenaunay syndrome is a congenital capillary-venous vascular malformation characterized by malformation of the capillaries, soft tissue and bone hypertrophy and atypical varicosities. Klippel-Trenaunay syndrome often affects the lower extremity but can also involve arms, trunk, head, neck, abdominal and pelvic organs, and central nervous system. Deep venous system anomalies are important in directing the treatment of these cases. In cases of deep vein hypoplasia, marginal vein can be resected since hypoplastic deep veins can spontaneously dilate to almost normal dimensions after marginal vein resection. In cases of deep venous aplasia, the embryonal vein can be the main drainage vein of the leg and the resection is unlikely. In this article, we present a case of a 20-year-old male with Klippel-Trenaunay syndrome who had right leg diameter increase, port-wine stain appearance, and venous ulcer.

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Endovenous radiofrequency ablation and combined foam sclerotherapy treatment of multiple refluxing perforator veins in a Klippel-Trenaunay syndrome patient

Cited by 13 publications

References 3 publications

The Klippel-Trenaunay Syndrome

The Klippel-Trenaunay Syndrome

Vascular Malformation of Lower Limb Masquerading as Varicose Veins in a Patient with Rheumatoid Arthritis -Case Report and Literature Review

Klippel-Trenaunay syndrome in a patient presenting with venous stasis ulcer

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