Long-Term Outcome of Single-Session, Ultrasound-Guided, Radiofrequency Ablation for Symptomatic Small, Lower Limb, Venous Malformations.

IF 2 4区医学 Q4 Medicine

Journal of the Belgian Society of Radiology Pub Date : 2022-07-13 eCollection Date: 2022-01-01 DOI:10.5334/jbsr.2801

Laurence Verhaeghe, Veerle Labarque, Jan Vranckx, Inge Fourneau, Steven Pans, Geert Maleux

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引用次数: 2

Abstract

Objectives: To analyze the long-term clinical outcome of percutaneous, ultrasound-guided radiofrequency ablation (RFA) of peripheral low-flow vascular malformations (VM).

Materials & methods: Adolescent patients presenting with symptomatic VMs and referred for percutaneous management using RFA between January 2010 and January 2015 were identified by a search in the institutional interventional radiology database. Clinical and radiological follow-up up to April 2021 was based on retrospective analysis of patients' electronic medical records and imaging files. This retrospective study was approved by the institutional ethics committee.

Results: Four female patients (median age 16 years) presented with lower extremity pain, swelling and functional disability related to VM as confirmed by magnetic resonance imaging. Two patients underwent percutaneous sclerotherapy previously. Clinical follow-up (mean of 8,5 years) showed complete and sustained resolution of the symptoms in all patients; in one patient a persistent decrease in muscular strength of the treated limb was noted.

Conclusion: Percutaneous, ultrasound-guided RFA is relatively safe and efficient with durable symptom relief in the management of small, lower limb VMs in adolescent patients.

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单次超声引导射频消融治疗症状性下肢静脉畸形的远期疗效。

目的:分析超声引导下经皮射频消融术(RFA)治疗周围低流量血管畸形(VM)的远期临床效果。材料与方法:在2010年1月至2015年1月期间，通过对机构介入放射学数据库的搜索，确定了出现症状性vm并转介经皮RFA治疗的青少年患者。截至2021年4月的临床和放射学随访是基于对患者电子病历和成像文件的回顾性分析。本回顾性研究得到了机构伦理委员会的批准。结果:4例女性患者(中位年龄16岁)经磁共振成像证实为与VM相关的下肢疼痛、肿胀和功能障碍。既往有2例患者接受过经皮硬化治疗。临床随访(平均8.5年)显示所有患者的症状都得到了完全和持续的缓解;在一名患者中，治疗肢体的肌肉力量持续下降。结论:超声引导下经皮射频消融治疗青少年下肢小虚拟机相对安全、有效、症状持续缓解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the Belgian Society of Radiology Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

0.60

自引率

5.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education.