Fluoroscopy-guided foam sclerotherapy with sodium morrhuate for peripheral venous malformations: Preliminary experience Long Li, MD, Jie Feng, MD, Xin-Qiao.

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Fluoroscopy-guided foam sclerotherapy with sodium morrhuate for peripheral venous malformations: Preliminary experience Long Li, MD, Jie Feng, MD, Xin-Qiao Zeng, BMed, Yan-Hao Li, MD Journal of Vascular Surgery Volume 49, Issue 4, Pages 961-967 (April 2009) DOI: 10.1016/j.jvs.2008.10.037 Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 1 Fluoroscopy-guided foam sclerotherapy of peripheral venous malformations in the right shoulder and back region by the filling-defects technique. A, Direct puncture venography shows an isolated venous malformation without peripheral drainage. The needle tip is located within the venous sacs. B, Sclerosing foam injection under fluoroscopy. The sclerosing foam is injected into the same area previously injected with contrast medium. The sclerosing foam is seen as translucent filling-defects, while the previously injected contrast is pushed to the periphery of the lesion. Journal of Vascular Surgery 2009 49, 961-967DOI: (10.1016/j.jvs.2008.10.037) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 2 Coronal fat-saturated T2-weighted magnetic resonance images show a venous malformation of the left temporal region before and after treatment with fluoroscopy-guided foam sclerotherapy. A, A heterogenous mass (arrow) is shown before treatment. B, After 30 minutes, multiple heterogenous isointense nodes (arrow) are shown. C, Near complete resolution of the left temporal venous malformation (arrow) is revealed att the 6-month follow-up. Journal of Vascular Surgery 2009 49, 961-967DOI: (10.1016/j.jvs.2008.10.037) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 3 Sagittal fat-saturated T2-weighted magnetic resonance images show a venous malformation of the right facial region before and after treatment with fluoroscopy-guided foam sclerotherapy. A, Image shows a heterogenous mass (arrow) before treatment. B, An image 6 six months later reveals substantial improvement in size of >50% of the left facial venous malformation (arrow). Journal of Vascular Surgery 2009 49, 961-967DOI: (10.1016/j.jvs.2008.10.037) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions