Sclerotherapy for intramuscular vascular malformations: A single-center experience

Objectives To report the outcomes of surgical treatment of calf intramuscular venous malformations (IMVMs) on pain, functional limitation, and quality of life. Methods We retrospectively reviewed 57 consecutive patients who had surgery for IMVM of the posterior compartment of the leg between 2010 and 2015. Treatments were all done at a single institution. Results Patients presented with pain (52), muscle contracture (14), or pulmonary embolism (4). Muscle involvement included the soleus muscle (n = 28, 49%), the gastrocnemius muscle (n = 25, 43%), and deep muscles (n = 4, 7%). Complete excision was possible in 52 patients (91%) and partial excision in 5 (9%). Thirty-five of 46 patients who had an MRI follow-up at six months had no residual venous malformation. At the final follow-up (mean 39 months), 32 of 40 patients seen had no residual pain and 37 had no residual functional impairment. Conclusion In cases where IMVM is located in one muscle in the leg, we demonstrated that surgery yielded improvement in pain, function, and quality of life.

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“…Sclerotherapy outcomes reported in the literature 2,10–12 and comparison can be difficult due to variability in treatment.…”

Section: Discussionmentioning

confidence: 99%

Intramuscular venous malformations of the calf: Surgical treatment outcomes of 57 patients

et al. 2020

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“…48 Similar results have been demonstrated with the use of sodium tetradecyl sulfate. 49 LMs, on the other hand, are typically injected with doxycycline. 50 Typically, compression is placed over the VM area for the postoperative period via compression garments or wraps.…”

Section: Sclerotherapy Of Vascular Malformationsmentioning

confidence: 99%

Current Image-Guided Interventions in Pediatric Surgery

Rubalcava

Jarboe

2020

Eur J Pediatr Surg

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Traditionally, surgical technique has not included imaging modalities. Image guidance had largely been left to radiology specialties. However, in recent years, tremendous advances in imaging have taken place with improvements in image quality, portability, and accessibility. With these advances, surgeons have begun to realize the benefits of fusing image guidance with traditional surgical approaches. Subsequently, many novel surgical approaches utilizing image guidance have been developed that allow for precise, safe, and minimally invasive management of conditions that previously required open surgical intervention.

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“…47 Multiple sclerotherapy sessions are generally required to alleviate symptoms regardless of the sclerosing agent used, 47 such as absolute ethanol 60,61 and detergent sclerosants (including polidocanol, 62 ethanolamine oleate, 62 and sodium tetradecyl sulfate). 63 Local complications of sclerotherapy include blistering (Fig. 1), skin necrosis, and damage to local nerves, and systemic complications include deep venous thrombosis and subsequent pulmonary embolism, hemolysis, and a potential for renal toxicity and cardiac arrest.…”

Section: Vms and Varicose Veinsmentioning

confidence: 99%

Wound-Healing Problems Associated with Combined Vascular Malformations in Klippel–Trenaunay Syndrome

Ishikawa

Yamamoto

Funayama

et al. 2019

Advances in Wound Care

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Sclerotherapy for intramuscular vascular malformations: A single-center experience

Cited by 11 publications

References 21 publications

Intramuscular venous malformations of the calf: Surgical treatment outcomes of 57 patients

Intramuscular venous malformations of the calf: Surgical treatment outcomes of 57 patients

Current Image-Guided Interventions in Pediatric Surgery

Wound-Healing Problems Associated with Combined Vascular Malformations in Klippel–Trenaunay Syndrome

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