Classification of venous malformations in children and implications for sclerotherapy

Puig, Stefan; Aref, Hussein; Chigot, Valérie; Bonin, B; Brunelle, Françis

doi:10.1007/s00247-002-0838-9

Cited by 189 publications

(139 citation statements)

References 28 publications

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“…In fact, a recent study suggested the classification of VMs into 4 groups on the basis of presence and morphology of venous drainage, showing that sclerotherapy alone was most useful for those lesions with no peripheral drainage or drainage into normal veins. 67 The specific management of these lesions depends on the location of the lesion. Thus it is useful to divide VMs into two broad categories when considering their management: (1) head and neck VMs and (2) trunk and limb VMs.…”

Section: Clinical Characteristicsmentioning

confidence: 99%

Vascular malformations

Garzon

Huang²,

Enjolras

et al. 2007

Journal of the American Academy of Dermatology

308

222

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Section: Clinical Characteristicsmentioning

confidence: 99%

Vascular malformations

Garzon

Huang²,

Enjolras

et al. 2007

Journal of the American Academy of Dermatology

308

222

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“…Elle doit être interrompue 12 heures avant le geste [11]. De plus, une sclérothérapie peut être envisagée en cas de gêne esthétique ou fonctionnelle, en particulier, dans les cas d'atteinte articulaire et en cas de douleurs chroniques [12]. Elle peut être complétée par une exérèse chirurgicale surtout dans les localisations musculaires [13].…”

Section: Discussionunclassified

Malformation veineuse intramusculaire scapulaire thrombosée : à propos d’un cas chez un enfant

Fekir

Balguérie

Bardoux

et al. 2015

Archives de Pédiatrie

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“…Subsequently, the lesion shrinks down in size due to permanent obliteration of vessels by organized thrombi, intimal necrosis and adventitial fibrosis. The method seems to be especially effective if the draining vessels of the malformation are of normal calibre and do not show dilatation or ectatic changes [12]. The favoured sclerosing agent used in this setting is absolute ethanol, for which good results with limited complications rates (e.g.…”

Section: Comparison Of Pdt To Conventional Therapies For Venous Malfomentioning

confidence: 99%

Interstitial photodynamic therapy for a symptom‐targeted treatment of complex vascular malformations in the head and neck region

et al. 2007

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Background and Objectives: Photodynamic therapy is based on an interaction of a drug and light in oxygenated tissue. The photosensitizing drug Foscan 1 is licensed in the EU for the treatment of advanced head and neck cancer. The light can be applied by surface illumination or directly into tumour tissue by optical fibres. One interesting feature of PDT is that it does not cause major damage to nerves and major blood vessels. This raises the possibility of using this therapy in the treatment of benign neoplasms in the head and neck. Study Design/Materials and Methods: A total of 11 patients with lymphatic [8] or venous malformation [3] were treated on 25 occasions. The treatments were carried out using Temoporphin (Foscan 1 ) 0.15 mg/kg; the druglight-interval was 4 days. Illumination was performed at 652 nm delivered interstitially through bare tip fibres at a total light dose of 20 J per fibre. Multiple fibres were positioned either image guided [13] or clinically [12] to ensure accurate targeting of tissue while avoiding damage of the surrounding and overlying tissue. Results: In all cases there was a significant reduction in the volume of abnormal tissue without damage to the overlying skin; the results were objectified using MRIimaging, CT-volumetry and surface optical scanning. The best results were obtained with lymphatic malformations, especially for those that had not undergone previous surgery. Post-treatment pain and swelling were successfully controlled with steroids and a variety of analgesics (opioids and non-steroidal anti-inflammatories). No vascular or neurological signs were encountered. Conclusion: This minimally invasive approach to treat complex benign neoplasias seems promising. The treatment is safe, effective and repeatable and merits further evaluation.

show abstract

Classification of venous malformations in children and implications for sclerotherapy

Abstract: Our initial results indicate that sclerotherapeutic intervention in patients with type-III and type-IV VMs must be carefully considered, while it can be safely performed in low-risk patients with type-I and type-II lesions.

Cited by 189 publications

References 28 publications

Vascular malformations

Vascular malformations

Malformation veineuse intramusculaire scapulaire thrombosée : à propos d’un cas chez un enfant

Interstitial photodynamic therapy for a symptom‐targeted treatment of complex vascular malformations in the head and neck region

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