Percutaneous Sclerotherapy for Venous Malformations Using Polidocanol under Fluoroscopy

Hidefumi Mimura, Susumu Kanazawa, Kotaro Yasui, Hiroyasu Fujiwara, Tsuyoshi Hyodo, Takashi Mukai, Shuichi Dendo, Toshihiro Iguchi, Takao Hiraki, Isao Koshima, Yoshio Hiraki

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)

Abstract

This retrospective study evaluated the safety and efficacy of using polidocanol with X-ray fluoroscopy for percutaneous sclerotherapy of venous malformations of the limbs, head, and neck. The subjects were 16 of 18 patients who presented to our department with venous malformations. Two patients were excluded because they were unlikely to benefit from the treatment. Of the 16 included in the study, 1 could not be treated because of inaccessibility, and another was lost to follow-up. Among the 14 cases that we were able to follow-up, 11 cases had had pain as their primary symptom. Following treatment, this symptom remained unchanged in 1 patient, was improved in 4, and had disappeared in 6; however, there was a recurrence of pain for 3 of these patients. Two patients had sought treatment for cosmetic purposes; following treatment, the lesion disappeared in one and showed a significant reduction in the other. The remaining patient presented with a primary symptom of mouth bleeding, which disappeared following treatment. There were no critical complications. Percutaneous sclerotherapy of venous malformations using polidocanol is safe and effective, and permits repeat treatments. The efficacy is especially good for resolving pain, and complications are minor. It is desirable to use fluoroscopy for these procedures.

Original languageEnglish
Pages (from-to)227-234
Number of pages8
JournalActa medica Okayama
Volume57
Issue number5
Publication statusPublished - Oct 2003

Keywords

  • Fluoroscopy guidance
  • Polidocanol
  • Sclerotherapy
  • Venous malformation

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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