Venous malformations: Sclerotherapy with a mixture of ethanol and lipiodol

Jin Suck Suh, Kyoo Ho Shin, Jae Bum Na, Jong Yun Won, Soo Bong Hahn

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Abstract

Purpose: To evaluate the usefulness of a mixture of absolute ethanol and lipiodol in the management of venous malformations. Methods: Percutaneous sclerotherapy was performed with a mixture of absolute ethanol and lipiodol (9:1) in 17 patients with venous malformations, once in 12 patients, twice in 5. The therapeutic efficacy was evaluated by pain reduction. Conventional radiographs (n = 15) and posttreatment magnetic resonance imaging (n = 5) were obtained for the follow-up evaluation. Results: Sclerotherapy was successful in all but two patients. The therapeutic effect was excellent in two patients, good in seven, fair in five, and poor in one. Radiopacity of lipiodol was beneficial for monitoring the procedure rather than for follow- up evaluations. Areas with low signal-intensity strands were increased on T2- weighted images obtained after the sclerotherapy. Conclusion: Sclerotherapy with a mixture of ethanol and lipiodol is effective in treating venous malformations.

Original languageEnglish
Pages (from-to)268-273
Number of pages6
JournalCardiovascular and interventional radiology
Volume20
Issue number4
DOIs
Publication statusPublished - 1997 Jul 1

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All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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