Endovascular Treatment of Venous Malformation in the Head and Neck, Trunk, and Extremities

Chapter

Abstract

Endovascular treatment, or sclerotherapy, is the primary treatment for most symptomatic venous malformations [VM]. Different techniques and agents are used, but most patients benefit with decrease swelling and pain and improved appearance. Because of the progressive nature of VM, sclerotherapy is usually not curative. The aim of treatment should be to improve symptoms without risking major morbidity.

References

  1. 1.
    Lee BB, Baumgartner I, Berlien P, Bianchini G, Burrows P, Gloviczki P, et al. Diagnosis and treatment of venous malformations. Consensus document of the international union of phlebology (IUP): updated 2013. Int Angiol: J Int Union Angiol. 2015;34(2):97–149.Google Scholar
  2. 2.
    Mazoyer E, Enjolras O, Laurian C, Houdart E, Drouet L. Coagulation abnormalities associated with extensive venous malformations of the limbs: differentiation from Kasabach-Merritt syndrome. Clin Lab Haematol. 2002;24(4):243–51.CrossRefPubMedGoogle Scholar
  3. 3.
    Enjolras O, Ciabrini D, Mazoyer E, Laurian C, Herbreteau D. Extensive pure venous malformations in the upper or lower limb: a review of 27 cases. J Am Acad Dermatol. 1997;36(2 Pt 1):219–25.CrossRefPubMedGoogle Scholar
  4. 4.
    Pireau N, Boon LM, Poilvache P, Docquier PL. Surgical treatment of intra-articular knee venous malformations: when and how? J Pediatr Orthop. 2016;36:316–22.CrossRefPubMedGoogle Scholar
  5. 5.
    Burrows PE. Endovascular treatment of slow-flow vascular malformations. Tech Vasc Interv Radiol. 2013;16(1):12–21.CrossRefPubMedGoogle Scholar
  6. 6.
    Jain R, Bandhu S, Sawhney S, Mittal R. Sonographically guided percutaneous sclerosis using 1 % polidocanol in the treatment of vascular malformations. J Clin Ultrasound. 2002;30(7):416–23.CrossRefPubMedGoogle Scholar
  7. 7.
    Lee IH, Kim KH, Jeon P, Byun HS, Kim HJ, Kim ST, et al. Ethanol sclerotherapy for the management of craniofacial venous malformations: the interim results. Korean J Radiol. 2009;10(3):269–76.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Chapot R, Laurent A, Enjolras O, Payen D, Houdart E. Fatal cardiovascular collapse during ethanol sclerotherapy of a venous malformation. Interv Neuroradiol. 2002;8(3):321–4.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Zheng JW, Yang XJ, Wang YA, He Y, Ye WM, Zhang ZY. Intralesional injection of Pingyangmycin for vascular malformations in oral and maxillofacial regions: an evaluation of 297 consecutive patients. Oral Oncol. 2009;45(10):872–6.CrossRefPubMedGoogle Scholar
  10. 10.
    Jin Y, Lin X, Li W, Hu X, Ma G, Wang W. Sclerotherapy after embolization of draining vein: a safe treatment method for venous malformations. J Vasc Surg. 2008;47(6):1292–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Spence J, Krings T, TerBrugge KG, Agid R. Percutaneous treatment of facial venous malformations: a matched comparison of alcohol and bleomycin sclerotherapy. Head Neck. 2011;33(1):125–30.CrossRefPubMedGoogle Scholar
  12. 12.
    Stuart S, Barnacle AM, Smith G, Pitt M, Roebuck DJ. Neuropathy after sodium tetradecyl sulfate sclerotherapy of venous malformations in children. Radiology. 2015;274(3):897–905.CrossRefPubMedGoogle Scholar
  13. 13.
    Rautio R, Saarinen J, Laranne J, Salenius JP, Keski-Nisula L. Endovascular treatment of venous malformations in extremities: results of sclerotherapy and the quality of life after treatment. Acta Radiol. Stockholm, Sweden : 19872004;45(4):397–403.CrossRefPubMedGoogle Scholar
  14. 14.
    Boscolo E, Limaye N, Huang L, Kang KT, Soblet J, Uebelhoer M, et al. Rapamycin improves TIE2-mutated venous malformation in murine model and human subjects. J Clin Invest. 2015;125(9):3491–504.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Gloviczki P, Driscoll DJ. Klippel-Trenaunay syndrome: current management. Phlebology. 2007;22(6):291–8. Venous Forum of the Royal Society of MedicineCrossRefPubMedGoogle Scholar
  16. 16.
    King K, Landrigan-Ossar M, Clemens R, Chaudry G, Alomari AI. The use of endovenous laser treatment in toddlers. J vasc Interv Radiol: JVIR. 2013;24(6):855–8.CrossRefPubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Medical College of Wisconsin, Children’s Hospital of WisconsinMilwaukeeUSA

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