Predictors of response to percutaneous ethanol sclerotherapy (PES) in patients with venous malformations: Analysis of patient self-assessment and imaging

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Predictors of response to percutaneous ethanol sclerotherapy (PES) in patients with venous malformations: Analysis of patient self-assessment and imaging Woo-Sung Yun, MD, Young-Wook Kim, MD, Kyung-Bok Lee, MD, Dong-Ik Kim, MD, Kwang-Bo Park, MD, Keon-Ha Kim, MD, Young- Soo Do, MD, Byung-Boong Lee, MD Journal of Vascular Surgery Volume 50, Issue 3, Pages 581-589.e1 (September 2009) DOI: 10.1016/j.jvs.2009.03.058 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 Treatment of patients with venous malformations (VM). Journal of Vascular Surgery 2009 50, 581-589.e1DOI: (10.1016/j.jvs.2009.03.058) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 Characteristics of venous drainage from venous malformations (VM) on a direct puncture venogram during PES. A and B, No or delayed visualization of drainage vein. C and D, Immediate visualization of drainage vein. Journal of Vascular Surgery 2009 50, 581-589.e1DOI: (10.1016/j.jvs.2009.03.058) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 3 Imaging studies showing “good response” to percutaneous ethanol sclerotherapy (PES). A and B, Pre- and post-PES MRIs showing diminished size of venous malformations (VM) lesion after PES. C and D, Pre- and post-PES WBBPSs showing diminished abnormal blood pool in the neck after PES. Journal of Vascular Surgery 2009 50, 581-589.e1DOI: (10.1016/j.jvs.2009.03.058) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 4 Pretreatment magnetic resonance imaging (MRI) (A), (B), and (C) and direct puncture venogram (D) during percutaneous ethanol sclerotherapy (PES) in a patient who developed transient spinal cord ischemic symptom. Journal of Vascular Surgery 2009 50, 581-589.e1DOI: (10.1016/j.jvs.2009.03.058) Copyright © 2009 Society for Vascular Surgery Terms and Conditions