scholarly journals Venous malformation and Sodium tetra decyl sulphate as sclerosant: a treatment option

2020 ◽  
pp. 1-3
Author(s):  
Asif Iqbal Shaikh ◽  
Imran Ahmad ◽  
M. Fahud Khurram ◽  
Lalit Agrawal
Keyword(s):  
Treatment Option ◽  
Venous Malformation ◽  
Vascular Lesion ◽  
Treatment Modalities ◽  
Venous Malformations ◽  
Variable Presentation

Venous malformations are common vascular lesion with variable presentation. They are benign but sometimes troublesome because of their location, size, bleeding. There are various treatment modalities available and different patients are benefitted with different modality. Sclerotherapy is good nonsurgical means of treatment. This study is undertaken to further explore the utility of sodium tetra decyl sulphate as a sclerosant for venous malformation.

Percutaneous sclerotherapy for spongiform venous malformations – analysis of patient-evaluated outcome and satisfaction

VASA ◽  
2017 ◽  
Vol 46 (6) ◽  
pp. 477-483
Author(s):  
Robert Karl Clemens ◽  
Frederic Baumann ◽  
Marc Husmann ◽  
Thomas Oleg Meier ◽  
Christoph Thalhammer ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Medical Records ◽  
Venous Malformation ◽  
Primary Treatment ◽  
Venous Malformations ◽  
Treated Area ◽  
Item Questionnaire ◽  
Percutaneous Sclerotherapy ◽  
Multiple Treatments ◽  
Pain Improvement

Abstract. Background: Congenital venous malformations are frequently treated with sclerotherapy. Primary treatment goal is to control the often size-related symptoms. Functional impairment and aesthetical aspects as well as satisfaction have rarely been evaluated. Patients and methods: Medical records of patients who underwent sclerotherapy of spongiform venous malformations were reviewed and included in this retrospective study. The outcome of sclerotherapy as self-reported by patients was assessed in a 21 item questionnaire. Results: Questionnaires were sent to 166 patients with a total of 327 procedures. Seventy-seven patients (48 %) with a total of 159 procedures (50 %) responded to the survey. Fifty-seven percent of patients were male. The age ranged from 1 to 38.1 years with a median age of 16.4 years. The lower extremities were the most common treated area. Limitations caused by the venous malformation improved in the majority of patients (e.g. pain improvement 87 %, improvement of swelling 83 %) but also worsening of symptoms occurred in a minority of cases. Seventy-seven per cent would undergo sclerotherapy again. Conclusions: Sclerotherapy for treatment of venous malformations results in significant reduction of symptoms. Multiple treatments are often needed, but patients are willing to undergo them.

Clinical value of classification of venous malformations with contrast-enhanced MR Angiography

2016 ◽  
Vol 32 (9) ◽  
pp. 628-633 ◽  
Author(s):  
Ahmed Abdel Khalek Abdel Razek ◽  
Germeen Ashmalla Albair ◽  
Sieza Samir
Keyword(s):  
Mr Angiography ◽  
Treatment Plan ◽  
Venous Malformation ◽  
Observer Agreement ◽  
Type I ◽  
Venous Malformations ◽  
Single Measure ◽  
Intra Class Correlation ◽  
Contrast Enhanced

Aim To classify venous malformations based on contrast-enhanced MR angiography that may serve as a basis for treatment plan. Patients and methods A retrospective analysis was performed in 58 patients with venous malformations who underwent contrast-enhanced MR angiography. Venous malformations were classified according to their venous drainage into: type I, isolated malformation without peripheral drainage; type II, malformation that drains into normal veins; type III, malformation that drains into dilated veins; and type IV, malformation that represents dysplastic venous ectasia. Image analysis was done by two reviewers. Intra and inter-observer agreement of both reviewers and intra-class correlation was done. Results The intra-observer agreement of contrast-enhanced MR angiography classification of venous malformations was excellent for the first reviewer ( k = 0.83, 95% CI = 0.724–0.951, P = 0.001) and substantial for the second reviewer ( K = 0.79, 95% CI = 0.656-0.931, P = 0.001). The inter-observer agreement of contrast-enhanced MR angiography classification of venous malformations was excellent for both reviewers at the first time ( K = 0.96, 95% CI = 0.933–1.000, P = 0.001) and second time ( k = 0.81, 95% CI = 0.678–0.942, P = 0.001). There was high intra-class correlation of both reviewers for single measure ( ICC = 0.85, 95% CI = 0.776–0.918, P = 0.001) and for average measures ( ICC = 0.96, 95% CI = 0.933–0.978, P = 0.001). Conclusion Contrast-enhanced MR angiography classification of venous malformations may be a useful, simple and reliable tool to accurately classify venous malformation and this topographic classification helps for better management strategy.

SHORT IMPLANT’S: TREATMENT OPTION FOR ATROPHIC RIDGE IN ORAL IMPLANTOLOGY: A REVIEW

2021 ◽  
pp. 60-62
Author(s):  
Sonu Kumar ◽  
Narendra Kumar ◽  
Vikram Kapoor ◽  
Pallavi Sirana
Keyword(s):  
Treatment Option ◽  
Treatment Plan ◽  
Treatment Modalities ◽  
Treatment Alternative ◽  
Short Implants ◽  
Implant Dentistry ◽  
Bone Mapping ◽  
Bone Height ◽  
Oral Implantology ◽  
Selection Of

Implant dentistry has seen rapid progress in recent years leading to its application as standard treatment modalities. While selecting treatment plan, bone mapping and selection of implant is very essential for a successful implant practice. In case of an atrophic ridge where bone height is less, then selection of short implant could be a good treatment alternative, as it is a conservative treatment option because it prevents the need of sinus lift, alveolar nerve repositioning, and bone grafting. This article will discuss about how? when to use short implants along with their advantages, disadvantages of short implants in details.

scholarly journals A multi-disciplinary, multimodal approach for the management of vascular anomalies

2019 ◽  
Vol 36 (ICON-Suppl) ◽  
Author(s):  
Aqsa Mazhar ◽  
Shazia Moosa ◽  
Alizeh Abbas ◽  
Yousuf Mallick ◽  
Lubna Samad
Keyword(s):  
Vascular Anomalies ◽  
Treatment Modalities ◽  
Vascular Tumors ◽  
Comprehensive Treatment ◽  
Multimodal Approach ◽  
Venous Malformations ◽  
Creative Commons ◽  
Special Supplement ◽  
Diagnostic Work

Objective: Vascular anomalies are a diverse group of lesions, ranging from simple to complex, disfiguring anomalies. Our objective was to diagnose and provide comprehensive treatment to patients presenting with vascular anomalies, using a multi-disciplinary approach involving dermatologists, plastic surgeons, radiologists and pediatric surgeons. Methods: Patients presenting with vascular anomalies to The Indus Hospital, Karachi, from January 2017 to March 2019 were enrolled, using a pre-defined questionnaire. Assessment, diagnostic work up, management and clinical and photographic follow up was maintained to monitor outcomes. Results: One hundred eighty seven patients with a mean age of 4.6 years, (females 62%) were enrolled. Diagnoses included vascular tumors (n=89, 47.6%), lymphatic malformations (n=38, 20.3%), capillary malformations (n=19, 10%), venous malformations (n=16, 8.5%), arterio-venous malformations (n=14, 7.5%) and mixed anomalies (n=11, 5.9%). Treatment modalities, in isolation or combination, included oral propranolol, topical timolol, pulsed dye laser and intra-lesional sclerotherapy. Mean follow up was in 7.1 months, with 27 patients achieving treatment completion. 26 children were lost to follow-up. Conclusions: Vascular anomalies have mostly been managed successfully at VAC using single or multimodal treatment. Increasingly complex anomalies can be handled using a multi-disciplinary approach. Establishment of VAC has facilitated many patients who were earlier considered as diagnostic and therapeutic challenges. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1710 How to cite this:Mazhar A, Moosa S, Abbas A, Mallick Y, Samad L. A multi-disciplinary, multimodal approach for the management of vascular anomalies. Pak J Med Sci. Special Supplement ICON 2020. 2020;36(1):S14-S19. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1710 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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

2020 ◽  
Vol 35 (8) ◽  
pp. 597-604
Author(s):  
Claude Laurian ◽  
Pierre Cerceau ◽  
Nikos Paraskevas ◽  
Claudine Massoni ◽  
Veronique Marteau ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Venous Malformation ◽  
Functional Limitation ◽  
Venous Malformations ◽  
Complete Excision ◽  
Muscle Involvement ◽  
Residual Functional

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.

scholarly journals Outcomes of Venous Malformation Sclerotherapy: A Review of Study Methodology and Long-Term Results

2017 ◽  
Vol 34 (03) ◽  
pp. 288-293 ◽  
Author(s):  
Sumera Ali ◽  
Sally Mitchell
Keyword(s):  
Venous Malformation ◽  
Long Term Results ◽  
International Studies ◽  
Venous Malformations ◽  
Long Term Outcomes ◽  
Relative Paucity ◽  
Study Methodology ◽  
Grading Scales

AbstractIt is very important that patients seeking sclerotherapy for the treatment of venous malformations are aware of the expected course of the therapy. They should be thoroughly counseled about the complications, the need for multiple sessions of therapy, and also about the expected clinical outcome. The aim of this review is to discuss the long-term outcomes of sclerotherapy for the treatment of venous malformation. Many studies have discussed their individual center's experiences and short-midterm results, but there is a relative paucity of data on long-term outcomes. We have reviewed the literature and also shared our experience of a large cohort of patients (n = 116) with a relatively longer follow-up period of more than 1 year. Venous malformations are very complex lesions and their treatment is quite variable depending on its extent and complexity. As a result, outcome studies vary considerably in the choice of sclerosant, study methodology, outcome assessment (clinical vs. imaging), and grading scales. This review also highlights this extreme heterogeneity in the literature of the sclerotherapy outcome and summarizes a few national and international studies for comparison.

scholarly journals Intra-articular venous malformation of the knee in children: magnetic resonance imaging findings and significance of synovial involvement

2019 ◽  
Vol 50 (4) ◽  
pp. 509-515 ◽  
Author(s):  
Katariina A. Mattila ◽  
Johanna Aronniemi ◽  
Päivi Salminen ◽  
Risto J. Rintala ◽  
Kristiina Kyrklund
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Knee Pain ◽  
Venous Malformation ◽  
Cartilage Damage ◽  
Venous Malformations ◽  
Resonance Imaging ◽  
Cutaneous Manifestations ◽  
Timely Diagnosis ◽  
Clinical Awareness

Abstract Background Intra-articular venous malformations of the knee are an uncommon cause of unilateral knee pain in children. Timely diagnosis is important because lesions with intrasynovial involvement can lead to joint space hemorrhage and secondary cartilage damage. Objective To describe our tertiary center’s experience of diagnostics and typical magnetic resonance imaging (MRI) findings. Materials and methods A retrospective review of all patients ≤16 years of age managed for intra-articular venous malformations of the knee at our institution between 2002 and 2018. Results Of 14 patients (8 male), the mean age at presentation was 6 years (range: 0–14 years). The most common clinical findings were unilateral knee pain (93%), joint swelling (79%), quadriceps atrophy (50%) and a limited range of motion (29%). Cutaneous manifestations were present in four patients (29%). Contrast-enhanced MRI was available in all cases. After initial MRI, a vascular anomaly etiology had been identified in 11 cases (79%), and correctly reported as a venous malformation in 6 (55%). Three patients received entirely different diagnoses (arthritis, tumor or pigmented villonodular synovitis). Three of seven patients with intrasynovial lesions had established chondropathy at diagnosis. Two patients with lesions of the suprapatellar fat pad had intrasynovial involvement that was not visualised on MRI. Conclusion Although MRI usually permits the diagnosis, clinical awareness of these lesions is important for optimal imaging, accurate interpretation and timely diagnosis. Involvement of the intrasynovial cavity carries a risk of hemarthrosis and progressive chondropathy that may be underestimated by MRI.

scholarly journals Ipsilateral Lymphatic and Venous Malformations Affecting the Midface Area

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Şükran Bekdemir ◽  
Ahmet Kaan Gündüz ◽  
Ömür Ataoğlu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Hard Palate ◽  
Venous Malformation ◽  
Anterior Segment ◽  
Bulbar Conjunctiva ◽  
Venous Malformations ◽  
Resonance Imaging ◽  
Swept Source ◽  
Orbital Mass ◽  
Systemic Examination

A 22-year-old woman presented with progressive swelling of the nasal conjunctiva in the left eye. Anterior segment examination revealed a diffuse cystic appearance to the inferonasal bulbar conjunctiva and plica semilunaris. Anterior segment swept-source optical coherence tomography (OCT) revealed clear hyporeflective spaces demarcated by hyperreflective septae in the affected conjunctiva, consistent with the diagnosis of lymphatic malformation (LM). Magnetic resonance imaging revealed a well circumscribed intraconal mass located inferonasally in the left orbit. Systemic examination revealed a lesion similar to LM on the left hard palate. The left conjunctival mass was excised subtotally. Subsequently, a transconjunctival anterior orbitotomy was performed and the left orbital mass was completely removed intact. Histopathologically, the conjunctival mass was diagnosed as LM and the orbital mass as venous malformation (VM). This case represents a rare coexistence of histopathologically proven conjunctival LM and orbital VM as well as a presumed LM of the hard palate, all 3 lesions occurring in the ipsilateral midface area.

Intraosseous Venous Malformations of the Facial Bone: A Retrospective Study in 11 Patients

2012 ◽  
Vol 28 (5) ◽  
pp. 257-263 ◽  
Author(s):  
C Zhu ◽  
H G Zhu ◽  
Z Y Zhang ◽  
L Z Wang ◽  
J W Zheng ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Binary Classification ◽  
Venous Malformation ◽  
Surgical Techniques ◽  
Odontogenic Cysts ◽  
Venous Malformations ◽  
Facial Bone ◽  
En Bloc ◽  
Promising Alternative ◽  
Ct Features

Objectives: To investigate the clinical symptoms, computed tomography (CT) features and treatments of intraosseous venous malformations (IVM) that occur in the facial bone. Methods and Results: Eleven patients with facial IVM were treated with two surgical techniques, excision ( n = 4) or curettage ( n = 7). No recurrence was encountered at follow-up (45.8 ± 16.0 months). Postoperative deformities were left in two paediatric patients who were treated with excision. Conclusions: The diagnosis of IVM can be difficult and is mainly based on clinical symptoms and CT features. IVM should be differentiated from other lesions, including ameloblastoma, odontogenic cysts, osteosarcoma, aneurysmal bone cysts and arteriovenous malformations, among others. Conventional block biopsy should be replaced by fine needle aspiration cytology for further diagnosis. Curettage is a more appropriate method for IVM compared with excessive en-bloc osteotomy, while transosseous embolo-sclerotherapy may be a promising alternative method. Finally, the terminological confusion between ‘intraosseous haemangioma’ and ‘intraosseous venous malformation’ should be avoided according to the binary classification.

Parkes Weber syndrome—Diagnostic and management paradigms: A systematic review

2016 ◽  
Vol 32 (6) ◽  
pp. 371-383 ◽  
Author(s):  
Igor Banzic ◽  
Milos Brankovic ◽  
Živan Maksimović ◽  
Lazar Davidović ◽  
Miroslav Marković ◽  
...  
Keyword(s):  
Systematic Review ◽  
Arteriovenous Malformation ◽  
Clinical Improvement ◽  
Venous Malformation ◽  
Lymphatic Malformation ◽  
Treatment Modalities ◽  
Eligibility Criteria ◽  
Capillary Malformation ◽  
Weber Syndrome ◽  
Klippel Trenaunay Syndrome

Objectives Parkes Weber syndrome is a congenital vascular malformation which consists of capillary malformation, venous malformation, lymphatic malformation, and arteriovenous malformation. Although Parkes Weber syndrome is a clinically distinctive entity with serious complications, it is still frequently misdiagnosed as Klippel–Trenaunay syndrome that consists of the triad capillary malformation, venous malformation, and lymphatic malformation. Methods We performed a systematic review investigating clinical, diagnostic, and treatment modalities of Parkes Weber syndrome (PubMed/MEDLINE, Embase, and Cochrane databases). Thirty-six publications (48 patients) fulfilled the eligibility criteria. Results The median age of patients was 23 years (IQR, 8–32), and 24 (50.0%) were males. Lower extremity was affected in 42 (87.5%) and upper extremity in 6 (12.5%) patients; 15 (31.3%) patients developed high-output heart failure; 12 (25.0%) patients had chronic venous ulcerations, whereas 4 (8.3%) manifested distal arterial ischemia. The spinal arteriovenous malformations were reported in six (12.5%) patients and coexistence of aneurysmatic disease in five (10.4%) patients. The most frequently utilized invasive treatments were embotherapy followed by amputation and surgical arteriovenous malformation resection, and occasionally stent-graft implantation. All modalities showed clinical improvement. However, long follow-up and outcome remained unclear. Conclusion A diagnosis of Parkes Weber syndrome should be made on the presence of capillary malformation, venous malformation, lymphatic malformation, and arteriovenous malformation (as main defect) in overgrowth extremity. Arteriovenous malformation presents the criterion for distinguishing Parkes Weber syndrome from Klippel-Trenaunay syndrome, which is substantial for treatment strategy. The primary management goal should be patient's quality of life improvement and complication reduction. Embolization alone/combined with surgical resection targeting occlusion or removal of arteriovenous malformation “nidus” reliably leads to clinical improvement.

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