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Erschienen in: Surgery Today 7/2014

01.07.2014 | Original Article

Intraarterial polidocanol injection for the treatment of peripheral arteriovenous malformations

verfasst von: Onur Ergun, Eray Atlı, Bozkurt Gulek, Turkmen Ciftci, Barbaros Cil, Ibrahim Vargel, Bora Peynircioğlu

Erschienen in: Surgery Today | Ausgabe 7/2014

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Abstract

Purpose

The purpose of this study was to investigate the efficacy and safety of intraarterial transcatheter administration of polidocanol as an alternative treatment for peripheral arteriovenous malformations (AVMs).

Methods

The study comprised 10 patients (six males and four females) with a mean age of 28.8 years (range 8–52 years). All patients had trunk or extremity AVMs. Following the administration of general anesthesia or intravenous (IV) sedation, the patients underwent staged intraarterial polidocanol sclerotherapy with or without additional embolizations for their AVMs. The administration of polidocanol was executed by intraarterial infusion through a microcatheter or by direct percutaneous entry into the nidus under ultrasound guidance.

Results

A total of 19 sessions were accomplished in 10 patients. Polidocanol was used alone in six of the 19 sessions. In 13 sessions, polidocanol was used in combination with another agent (including n-butyl cyanoacrylate (NBCA), lipiodol, and ethanol) and/or coils. In two sessions, polidocanol was administered percutaneously under ultrasound guidance directly into the nidus documented by arteriography. No major complications occurred.

Conclusion

Intraarterial transcatheter administration of polidocanol alone or in combination with other agents is a safe and effective alternative treatment for peripheral AVMs.
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Metadaten
Titel
Intraarterial polidocanol injection for the treatment of peripheral arteriovenous malformations
verfasst von
Onur Ergun
Eray Atlı
Bozkurt Gulek
Turkmen Ciftci
Barbaros Cil
Ibrahim Vargel
Bora Peynircioğlu
Publikationsdatum
01.07.2014
Verlag
Springer Japan
Erschienen in
Surgery Today / Ausgabe 7/2014
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-013-0680-8

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