Utility of Venous Outflow Control Techniques in Low-Flow Vascular Malformation Sclerotherapy: A Case-Based Review.

IF 2.6 3区医学 Q2 PERIPHERAL VASCULAR DISEASE

Journal of Vascular and Interventional Radiology Pub Date : 2025-09-29 DOI:10.1016/j.jvir.2025.09.034

Margherita Viglione, Andrea Discalzi, Floriana Nardelli, Francesco Mistretta, Andrea Mancini, Mauro Bergui

{"title":"Utility of Venous Outflow Control Techniques in Low-Flow Vascular Malformation Sclerotherapy: A Case-Based Review.","authors":"Margherita Viglione, Andrea Discalzi, Floriana Nardelli, Francesco Mistretta, Andrea Mancini, Mauro Bergui","doi":"10.1016/j.jvir.2025.09.034","DOIUrl":null,"url":null,"abstract":"Purpose: The crucial aspects of sclerotherapy are to achieve an adequate dwell time with endothelium and to limit the egress of sclerosant into the circulation: both issues could be addressed if the optimal means to control the VM venous outflow was known.Material and methods: Medical literature from 1984 to August 2024 about sclerotherapy of vascular malformations was reviewed; all articles adopting and describing in technical details a stop-flow technique were considered and analyzed.Results: multiples outflow-control techniques have been identified and categorized into four classes, described in technical details and discussed, illustrating for each a case performed in our Center. Lastly, a practical workflow was elaborated.Conclusions: the choice of venous embolization technique should be tailored to the specific VM type and location to maximize therapeutic effects while minimizing adverse events.","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular and Interventional Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jvir.2025.09.034","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: The crucial aspects of sclerotherapy are to achieve an adequate dwell time with endothelium and to limit the egress of sclerosant into the circulation: both issues could be addressed if the optimal means to control the VM venous outflow was known.

Material and methods: Medical literature from 1984 to August 2024 about sclerotherapy of vascular malformations was reviewed; all articles adopting and describing in technical details a stop-flow technique were considered and analyzed.

Results: multiples outflow-control techniques have been identified and categorized into four classes, described in technical details and discussed, illustrating for each a case performed in our Center. Lastly, a practical workflow was elaborated.

Conclusions: the choice of venous embolization technique should be tailored to the specific VM type and location to maximize therapeutic effects while minimizing adverse events.

查看原文本刊更多论文

静脉流出控制技术在低流量血管畸形硬化治疗中的应用：一项基于病例的综述。

目的：硬化治疗的关键方面是获得足够的内皮停留时间和限制硬化剂进入循环：如果知道控制VM静脉流出的最佳方法，这两个问题都可以解决。材料与方法：回顾1984年至2024年8月有关血管畸形硬化治疗的医学文献；对所有采用并详细描述了堵漏技术的文章进行了考虑和分析。结果：确定了多种流出控制技术，并将其分为四类，在技术细节上进行了描述和讨论，并举例说明了在我们中心执行的每个案例。最后，阐述了一个实用的工作流程。结论：静脉栓塞技术的选择应根据特定的VM类型和部位进行调整，以最大限度地提高治疗效果，同时减少不良事件的发生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Vascular and Interventional Radiology 医学-核医学

CiteScore

4.30

自引率

10.30%

发文量

942

审稿时长

90 days

期刊介绍： JVIR, published continuously since 1990, is an international, monthly peer-reviewed interventional radiology journal. As the official journal of the Society of Interventional Radiology, JVIR is the peer-reviewed journal of choice for interventional radiologists, radiologists, cardiologists, vascular surgeons, neurosurgeons, and other clinicians who seek current and reliable information on every aspect of vascular and interventional radiology. Each issue of JVIR covers critical and cutting-edge medical minimally invasive, clinical, basic research, radiological, pathological, and socioeconomic issues of importance to the field.