Treatment of venous malformations by direct injection with ethanol

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Presentation transcript:

Treatment of venous malformations by direct injection with ethanol Paula K. Shireman, MD, Walter J. McCarthy, MD, James S.T. Yao, MD, PhD, Robert L. Vogelzang, MD Journal of Vascular Surgery Volume 26, Issue 5, Pages 838-844 (November 1997) DOI: 10.1016/S0741-5214(97)70098-3 Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Various imaging methods in a patient with VM of the left foot. A, Normal arteriogram; B, normal venogram. C, VM between the fourth and fifth metatarsals as a hyperintense (white) signal on this T2 MRI image (arrow). D, T2 MRI image demonstrates the same area as C 1 month after direct injection of ethanol into the lesion (arrow). Notice the greatly decreased size of the VM as well as the residual soft tissue swelling from the procedure. Journal of Vascular Surgery 1997 26, 838-844DOI: (10.1016/S0741-5214(97)70098-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Various imaging methods in a patient with VM of the left foot. A, Normal arteriogram; B, normal venogram. C, VM between the fourth and fifth metatarsals as a hyperintense (white) signal on this T2 MRI image (arrow). D, T2 MRI image demonstrates the same area as C 1 month after direct injection of ethanol into the lesion (arrow). Notice the greatly decreased size of the VM as well as the residual soft tissue swelling from the procedure. Journal of Vascular Surgery 1997 26, 838-844DOI: (10.1016/S0741-5214(97)70098-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Various imaging methods in a patient with VM of the left foot. A, Normal arteriogram; B, normal venogram. C, VM between the fourth and fifth metatarsals as a hyperintense (white) signal on this T2 MRI image (arrow). D, T2 MRI image demonstrates the same area as C 1 month after direct injection of ethanol into the lesion (arrow). Notice the greatly decreased size of the VM as well as the residual soft tissue swelling from the procedure. Journal of Vascular Surgery 1997 26, 838-844DOI: (10.1016/S0741-5214(97)70098-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Various imaging methods in a patient with VM of the left foot. A, Normal arteriogram; B, normal venogram. C, VM between the fourth and fifth metatarsals as a hyperintense (white) signal on this T2 MRI image (arrow). D, T2 MRI image demonstrates the same area as C 1 month after direct injection of ethanol into the lesion (arrow). Notice the greatly decreased size of the VM as well as the residual soft tissue swelling from the procedure. Journal of Vascular Surgery 1997 26, 838-844DOI: (10.1016/S0741-5214(97)70098-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Venogram demonstrates a large VM from a patient with Klippel-Trenaunay syndrome who experienced continued hemorrhage from her incision site after the placement of a hip prosthesis. Journal of Vascular Surgery 1997 26, 838-844DOI: (10.1016/S0741-5214(97)70098-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 This T2 MRI study reveals an extensive, superficial VM of the right thigh. Notice the hyperintense signal (white) of the VM (closed arrow) compared with the signal of fat (open arrow). Journal of Vascular Surgery 1997 26, 838-844DOI: (10.1016/S0741-5214(97)70098-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Extensive VM of the legs that extended onto the right foot is shown with direct injection of contrast material (A) and after two injections of ethanol (B). Notice the greatly decreased size of the VM after the procedure. Journal of Vascular Surgery 1997 26, 838-844DOI: (10.1016/S0741-5214(97)70098-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Extensive VM of the legs that extended onto the right foot is shown with direct injection of contrast material (A) and after two injections of ethanol (B). Notice the greatly decreased size of the VM after the procedure. Journal of Vascular Surgery 1997 26, 838-844DOI: (10.1016/S0741-5214(97)70098-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions