Journal of Vascular Surgery
Volume 50, Issue 3 , Pages 581-589.e1 , September 2009

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

Presented at the Twenty-first annual meeting of American Venous Forum in Phoenix, Arizona on February 14, 2009.

  • Woo-Sung Yun, MD

      Affiliations

    • Congenital Vascular Malformation Clinic, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
    • ,
  • Young-Wook Kim, MD

      Affiliations

    • Congenital Vascular Malformation Clinic, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
    • Corresponding Author InformationReprint requests: Young-Wook Kim, MD, Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Gangnam-gu, Seoul, Korea, 135-710
    • ,
  • Kyung-Bok Lee, MD

      Affiliations

    • Congenital Vascular Malformation Clinic, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
    • ,
  • Dong-Ik Kim, MD

      Affiliations

    • Congenital Vascular Malformation Clinic, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
    • ,
  • Kwang-Bo Park, MD

      Affiliations

    • Congenital Vascular Malformation Clinic, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
    • ,
  • Keon-Ha Kim, MD

      Affiliations

    • Congenital Vascular Malformation Clinic, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
    • ,
  • Young-Soo Do, MD

      Affiliations

    • Congenital Vascular Malformation Clinic, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
    • ,
  • Byung-Boong Lee, MD

      Affiliations

    • Center for Vein, Lymphatics and Vascular Malformation, Georgetown University School of Medicine, Washington, D.C.

Received 5 February 2009 ,Accepted 26 March 2009.

  • Image Result

    Treatment of patients with venous malformations (VM).

    Treatment of patients with venous malformations (VM).

  • Image Result

    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 d

    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.

  • Image Result
    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

    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.

  • Image Result
    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 ischem

    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.

 Competition of interest: none.

 Additional material for this article may be found online at www.jvascsurg.org.

PII: S0741-5214(09)00801-5

doi: 10.1016/j.jvs.2009.03.058

Journal of Vascular Surgery
Volume 50, Issue 3 , Pages 581-589.e1 , September 2009

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