New experiences with absolute ethanol sclerotherapy in the management of a complex form of congenital venous malformation

Lee, B.B.; Kim, D.I.; Huh, So-Young; Kim, H.H.; Choo, In Wook; Byun, Hongsik; Do, Yongtae

doi:10.1067/mva.2001.112209

Cited by 186 publications

(137 citation statements)

References 7 publications

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“…29) Therefore, the strategy for the VM management should be different from those for the AVM, and not all the VM lesions should require treatments immediately and the traditional conservative approach is still recommended for the vast majority of VM lesions. 30,31) A typical VM lesion without abnormal bone growth involvement can be monitored until the age of two or more years when the child is matured enough to tolerate various diagnosis and treatment procedures.…”

Section: Diacnosis In Generalmentioning

confidence: 99%

Changing Concept on Vascular Malformation: No Longer Enigma

Lee¹

2008

Annals of Vascular Diseases

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Section: Diacnosis In Generalmentioning

confidence: 99%

Changing Concept on Vascular Malformation: No Longer Enigma

Lee¹

2008

Annals of Vascular Diseases

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“…Therefore, in many cases, the aim of treatment for vascular malformation is for symptomatic relief rather than a cure. [5][6][7] Before invasive treatment for vascular malformations, detailed imaging diagnostic procedures such as catheter angiography are required. Because the symptoms of this patient were controlled conservatively, she did not need to undergo further invasive examination or intervention.…”

Section: Discussionmentioning

confidence: 99%

Conservative Therapy for Surgically Untreatable Extensive Arteriovenous Malformation from the Lower Extremityto the Pelvis with Secondary Consumptive Coagulopathy

Watanabe

Iwahashi

Saiki

et al. 2011

Annals of Vascular Diseases

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We present a woman with surgically untreatable extended arteriovenous malformations (AVM) and consumptive coagulopathy, which had been controlled by conservative compression and anticoagulation therapies for 17 years. At age 13, she was diagnosed with extended AVM in the entire left leg and pelvis. At age 16, limited surgical resection of the enlarged superficial vein in the left calf was performed for persistent leg pain. One year later, anticoagulation therapy was performed for massive bleeding from hemorrhoids due to AVM and coagulopathy. Despite its intractability, her condition has been favorably controlled with conservative methods, including compression and anticoagulation therapies.

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“…Although effective, data showed that ethanol sclerotherapy was associated with limitations and major complications (local and systemic), including severe pain requiring general anesthesia, ethanol toxicity, and localized tissue necrosis [75][76][77] . In a study of 87 patients with venous malformations treated with 98 sessions of ethanol sclerotherapy Lee et al reported outstanding results with 95% initial success with no recurrence in 71 patients at a mean follow-up of 24 months 78 .…”

Section: Treatmentmentioning

confidence: 99%

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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New experiences with absolute ethanol sclerotherapy in the management of a complex form of congenital venous malformation

Cited by 186 publications

References 7 publications

Changing Concept on Vascular Malformation: No Longer Enigma

Changing Concept on Vascular Malformation: No Longer Enigma

Conservative Therapy for Surgically Untreatable Extensive Arteriovenous Malformation from the Lower Extremityto the Pelvis with Secondary Consumptive Coagulopathy

The Klippel-Trenaunay Syndrome

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