The Significance of Immunohistochemical Staining, Including that for Glucose Transporter Protein Isoform 1, as Related to the Clinical and Angiographic Features of Adult Soft-Tissue Hemangioma and Arteriovenous Malformation in the Head and Neck

Lee, Ha Young; Kim, Seon Mi; Choi, Jin Woo; In, Hyun Sin; Cho, Kyung Ja; Young, Eun; Hwang, Jeong Eun; Khang, Shin Kwang; Nam, Soon Yuhl; Kim, Sang Yoon; Lee, Bong Jae; Lee, Jeong Hyun; Suh, Dae Chul

doi:10.3348/jksr.2009.60.2.83

Cited by 2 publications

(6 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among the sclerosing agents, alcohol is one of the most effective sclerosant which can induce denudation of endothelium, intense inflammatory reaction, and thrombosis of the VMs almost immediately [1, 5, 7]. …”

Section: Discussionmentioning

confidence: 99%

“…And it has been known as one of the most difficult disease entities diagnostically and therapeutically in the daily practice [4, 5]. …”

mentioning

confidence: 99%

“…Venous malformation (VM) is a common vascular malformation, although they are not always evident at birth, with 40% of cases found in the head and neck region [ 1 - 3 ]. And it has been known as one of the most difficult disease entities diagnostically and therapeutically in the daily practice [ 4 , 5 ].…”

mentioning

confidence: 99%

“…The treatment of VMs presents a challenge to interventional physicians. Percutaneous alcohol sclerotherapy has been reported to be effective in the primary treatment of venous malformations of the head and neck region [ 5 - 8 ]. Alcohol is believed to have the lowest rate of recurrence of all the sclerosants [ 7 ].…”

mentioning

confidence: 99%

See 3 more Smart Citations

Direct Percutaneous Alcohol Sclerotherapy for Venous Malformations of Head and Neck Region without Fluoroscopic Guidance: Technical Consideration and Outcome

et al. 2011

Self Cite

View full text Add to dashboard Cite

PurposeAlcohol is not used directly to the vascular lesion without mixing with the contrast agent because alcohol itself cannot be seen on the fluoroscopy. Since we have used alcohol for the venous malformations in the head and neck area, we realized that alcohol can be safely and effectively used without using fluoroscopy. We present the method of direct sclerotherapy using absolute alcohol without using fluoroscopy.Materials and MethodsAfter obtaining and carefully analyzing direct puncture venogram, we used this technique in 22 patients who underwent alcohol sclerotherapy. Because fluoroscopy was not used during alcohol injection, the angiotable can be placed outside of C-arm so that alcohol was comfortably injected without any obstacle around the patients. Venogram can also be obtained between the injections to detect whether there is any dangerous venous outflow drainage such as the superior ophthalmic vein to the cavernous sinus. To control the venous outflow, local compression to the draining vein was applied. The result and complication such as skin necrosis, infection, and nerve injury were evaluated during mean follow-up period of 13 months (range, 1-63 months).ResultsThe frequency of sclerotherapy was one in 16 and 2-5 in 6 patients. The volume of alcohol used per treatment session ranged from 2 to 18 mL (mean, 8.5 mL). There was the minimum change in 1 (4.5%), moderately decreased lesion in 12 (54.5%), and markedly decreased lesion in 9 (41%) patients. The patients did not reveal any complications during 12.9 months follow-up period.ConclusionDirect puncture alcohol sclerotherapy without using fluoroscopy can be a safe and effective technique for treating venous malformation of the head and neck areas. In addition, the procedure can be performed in the comfortable position because biplane fluoroscopy would not be necessary.

show abstract

Section: Discussionmentioning

confidence: 99%

“…And it has been known as one of the most difficult disease entities diagnostically and therapeutically in the daily practice [4, 5]. …”

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Direct Percutaneous Alcohol Sclerotherapy for Venous Malformations of Head and Neck Region without Fluoroscopic Guidance: Technical Consideration and Outcome

et al. 2011

Self Cite

View full text Add to dashboard Cite

show abstract

“…Percutaneous alcohol sclerotherapy has been reported to be effective in the primary treatment of venous malformations of the head and neck region [ 4 5 6 7 ]. However, it is associated with clinically-important potential complications that have been usually classi fied as either local or systemic.…”

mentioning

confidence: 99%

Visualization of Soft Tissue Venous Malformations of Head and Neck with 4D Flow Magnetic Resonance Imaging

Lee

Suh

2017

Neurointervention

Self Cite

View full text Add to dashboard Cite

Evaluation of hemodynamics in venous malformation (VM) in the head and neck area is done by direct puncture venography before alcohol sclerotherapy, but it is difficult due to a variable degree of filling in from the artery and filling out into the draining vein. We present our preliminary experience of 4D MRI to evaluate VM hemodynamics. Four patients with venous malformation in the maxillofacial area underwent both 4D MRI and direct puncture venography before alcohol sclerotherapy. To find out appropriate velocity encoding (VENC) for VM, we applied 5-50 cm/sec VENC. Significant high-flow foci demonstrated by phase changes in magnitude images were compared with lesion types shown on a direct puncture venogram. Detection of flow in VM was possible in magnitude images or phase-difference images when VENC was set to less than 30 cm/sec. Appropriate VENC for VM was regarded as less than 5 cm/sec. High-flow areas in the dilated venous sac demonstrated focal spots or linear band-like areas on phase changes of 4D MRI. Appropriate VENC application was mandatory to detect flow in VM. Flow information on 4D MRI provided flow information in VM which was not detected on a direct puncture venogram in the compartmentalized lesion and thus can make alcohol sclerotherapy safer.

show abstract

The Significance of Immunohistochemical Staining, Including that for Glucose Transporter Protein Isoform 1, as Related to the Clinical and Angiographic Features of Adult Soft-Tissue Hemangioma and Arteriovenous Malformation in the Head and Neck

Cited by 2 publications

References 13 publications

Direct Percutaneous Alcohol Sclerotherapy for Venous Malformations of Head and Neck Region without Fluoroscopic Guidance: Technical Consideration and Outcome

Direct Percutaneous Alcohol Sclerotherapy for Venous Malformations of Head and Neck Region without Fluoroscopic Guidance: Technical Consideration and Outcome

Visualization of Soft Tissue Venous Malformations of Head and Neck with 4D Flow Magnetic Resonance Imaging

Contact Info

Product

Resources

About