Endovascular radiofrequency ablation: A novel treatment of venous insufficiency in Klippel-Trenaunay patients Krista Frasier, BS, RVT, Gary Giangola,

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Presentation transcript:

Endovascular radiofrequency ablation: A novel treatment of venous insufficiency in Klippel-Trenaunay patients Krista Frasier, BS, RVT, Gary Giangola, MD, Robert Rosen, MD, Daniel T. Ginat, MD, MS Journal of Vascular Surgery Volume 47, Issue 6, Pages 1339-1345 (June 2008) DOI: 10.1016/j.jvs.2008.01.040 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Klippel Trenaunay syndrome. Journal of Vascular Surgery 2008 47, 1339-1345DOI: (10.1016/j.jvs.2008.01.040) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Hypotrophic deep veins in thigh. B, Hypotrophic deep veins with anomalous superficial veins in calf. C, Deep veins visualized with thigh tourniquet. Journal of Vascular Surgery 2008 47, 1339-1345DOI: (10.1016/j.jvs.2008.01.040) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 A, Venogram of hypertrophic superficial system with absence of deep venous system. B, Venogram showing only superficial outflow in the leg. Journal of Vascular Surgery 2008 47, 1339-1345DOI: (10.1016/j.jvs.2008.01.040) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 4 Color duplex image of patent deep venous system. Journal of Vascular Surgery 2008 47, 1339-1345DOI: (10.1016/j.jvs.2008.01.040) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 5 Great saphenous vein closed after thermal ablation. Journal of Vascular Surgery 2008 47, 1339-1345DOI: (10.1016/j.jvs.2008.01.040) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 6 A, Preop edema, varicosities, and limb hypertrophy. B, Decrease in gross varicosities, ankle and foot swelling s/p thermal ablation. Journal of Vascular Surgery 2008 47, 1339-1345DOI: (10.1016/j.jvs.2008.01.040) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 7 A, Preop varicosities and venous malformation. B, Postop with decrease in varicosities and malformation sensitivity. However, segments of the great saphenous vein and Klippel-Trenaunay tributaries remain open. Journal of Vascular Surgery 2008 47, 1339-1345DOI: (10.1016/j.jvs.2008.01.040) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 8 A, Klippel-Trenaunay Syndrome in infancy. B, Ten months s/p thermal ablation. Journal of Vascular Surgery 2008 47, 1339-1345DOI: (10.1016/j.jvs.2008.01.040) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions