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Diagnostics (Basel) 2022 Jun 9;12(6). Epub 2022 Jun 9.

Clinic for Radiology, University of Muenster and University Hospital of Muenster, 48149 Muenster, Germany.

Prediction of response to percutaneous sclerotherapy in patients with venous malformations (VM) is currently not possible with baseline clinical or imaging characteristics. This prospective single-center study aimed to predict treatment outcome of percutaneous sclerotherapy as measured by quality of life (QoL) by using radiomic analysis of diffusion-weighted (dw) magnetic resonance imaging (MRI) before and after first percutaneous sclerotherapy. In all patients ( = 16) pre-interventional (PRE-) and delta (DELTA-) radiomic features (RF) were extracted from dw-MRI before and after first percutaneous sclerotherapy with ethanol gel or polidocanol foam, while QoL was assessed using the Toronto Extremity Salvage Score (TESS) and the 36-Item Short Form Survey (SF-36) health questionnaire. Read More

Tech Coloproctol 2022 Jun 23. Epub 2022 Jun 23.

Department of Medico Surgical Proctology, Groupe Hospitalier Paris Saint-Joseph, Institut Léopold Bellan, 185, rue Raymond Losserand, 75014, Paris, France.

Andes Pediatr 2022 Apr;93(2):265-269

Hospital Universitario Politecnic La Fe, Valencia, España.

Cystic lymphatic malformation (CLM) is a rare and benign entity caused by alterations in the embryological development of lymphatic structures. Its typical location is in the head and neck, although it has also been described at the abdominal level. It may not be evident in the first stages of life and its first manifestation may be a complication such as abdominal distension, hemorrhage, or sepsis, which may put the patient's life at risk. Read More

Ann Med Surg (Lond) 2022 Jun 4;78:103937. Epub 2022 Jun 4.

Urology Department, La Rabta Hospital, Tunis, Tunisia.

Introduction: Among identified causes of male infertility, varicocele holds an important place and is significantly associated with sperm quality deterioration. Surgical management of this condition leads to an improvement in the sperm count and an increase in the spontaneous pregnancy rate.

Objective: The goal of this study was to compare different surgical techniques in terms of morbidity and fertility results. Read More

Laryngoscope Investig Otolaryngol 2022 Jun 22;7(3):751-756. Epub 2022 Apr 22.

Department of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital Qingdao University Yantai China.

Background: Cervical lymphangioma usually occurs in children and is relatively rare in adults. The purpose of this study was to investigate the characteristics of cervical lymphangiomas in adults.

Methods: We retrospectively reviewed the medical records and analyzed clinical data obtained from seven adult patients who suffered from cervical lymphangioma from January 2008 to June 2021. Read More

Vet Surg 2022 Jun 22. Epub 2022 Jun 22.

Department of Clinical Sciences, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania, USA.

Objective: To describe the use and outcome of sclerotherapy with intralesional doxycycline foam in a horse with a mandibular aneurysmal bone cyst.

Study Design: Case report.

Animals: Client-owned 1 year old Standardbred filly. Read More

BMC Vet Res 2022 Jun 20;18(1):233. Epub 2022 Jun 20.

Department of Small Animal Surgery, Section of Small Animal Clinical Studies, University College Dublin, Belfield, Dublin 4, Ireland.

Background: Canine intrarenal cystic lesions (ICLs) are infrequently reported in the veterinary literature. Several treatment options have been described including cyst fenestration (partial nephrectomy/deroofing) +/- omentalization, sclerotherapy using alcohol as a sclerosing agent, percutaneous cyst drainage (PCD), and ureteronephrectomy. Information regarding presenting clinical signs, physical examination findings, histologic diagnosis and outcomes of dogs with ICLs treated by different methods is limited. Read More

J Pediatr Gastroenterol Nutr 2022 Jun 16. Epub 2022 Jun 16.

Hépatologie et Transplantation Hépatique Pédiatriques, Centre de référence de l'atrésie des voies biliaires et des cholestases génétiques, FSMR FILFOIE, ERN RARE LIVER, Hôpital Bicêtre, AP-HP, Université Paris-Saclay, Hépatinov, Inserm U 1193, Le Kremlin-Bicêtre, France and Radiologie pédiatrique, Hôpital Bicêtre, AP-HP, Le Kremlin-Bicêtre, France.

Objectives: Primary prophylaxis of bleeding is debated in children with gastroesophageal varices; one of the reasons is the limited number of studies concerning its efficacy and safety. We report our experience with endoscopic primary prophylaxis.

Methods: From 2006 to 2019, 145 children (median age, 3. Read More

Zhonghua Yi Xue Za Zhi 2022 Jun;102(23):1771-1774

Special Department of Vascular Anomalies, Linyi Cancer Hospital, Linyi 276001, China.

To summarize the clinical experience of sandwich-shaped resection and cheiloplasty in the treatment of macrocheilia secondary to arteriovenous malformation, and to observe its clinical efficacy and complications. The clinical data of 27 patients with macrocheilia secondary to arteriovenous malformation who received surgical treatment from January 2018 to October 2020 in Linyi Cancer Hospital were retrospectively analyzed. There were 14 males and 13 females. Read More

Clin Exp Reprod Med 2022 Jun 4;49(2):76-86. Epub 2022 May 4.

Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Ovarian cystectomy is the preferred technique for the surgical management of ovarian endometrioma. However, other techniques such as ablation or sclerotherapy are also commonly used. The aim of this review is to summarize information regarding the efficacy of ablation and sclerotherapy compared to cystectomy in terms of ovarian reserve, the recurrence rate, and the pregnancy rate. Read More

Neurol Sci 2022 Jun 13. Epub 2022 Jun 13.

Neurology Department, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.

Aims: Trigeminal neuropathy is more likely to suggest neuronal damage and occur due to secondary pathology than trigeminal neuralgia. Evaluation of underlying etiologies are necessary.

Case: A 29-year-old female patient presented with left sided continuous burning pain likened to pins and needles at maxillary distribution for about a year. Read More

J Dtsch Dermatol Ges 2022 Jun 12. Epub 2022 Jun 12.

Department of Dermatology, Venereology and Allergology, Center for Venous Diseases of the Departments of Dermatology and Surgery, Ruhr University of Bochum, Bochum, Germany.

Background: Side effects of foam sclerotherapy for varicose veins can include both deep (DVT) and superficial leg vein thrombosis (SVT). The risk factors that favor the development of SVT or DVT after foam sclerotherapy are still largely unclear. The aim of our retrospective analysis was to use a larger group of patients with thromboembolic complications to identify both patient-related and procedure-related risk factors for thromboembolic complications from foam sclerotherapy. Read More

World Neurosurg 2022 Jun 8. Epub 2022 Jun 8.

Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, New York, USA; Department of Radiology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA; Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA; Jacobs Institute, Buffalo, New York, USA. Electronic address:

Background: Arteriovenous malformations (AVM) are congenital errors of vascular morphogenesis that occur during development of the cardiovascular system. Multiple treatment options exist, including coil embolization, Onyx (Medtronic) embolization, n-butyl-2 cyanoacrylate (n-BCA), alcohol embolization or sclerotherapy, and open surgical treatments. When the AVM involves superficial regions of the face, head, and neck, it is important to consider cosmetic side effects, such as surgical scarring and skin discoloration. Read More

Trials 2022 Jun 10;23(1):483. Epub 2022 Jun 10.

University Hospital Galway, Galway, Ireland.

Background: Treatment of superficial venous reflux has been shown to improve ulcer healing time and reduce the risk of ulcer recurrence. Terminal ablation of the reflux source (TIRS) is an alternative to formal endovenous ablation or surgery which can be performed by injecting sclerosant foam into the peri-ulcer plexus of the veins. TIRS has been shown to be successful and in our experience is the option preferred by many patients, when offered as an alternative to axial ablation (AA). Read More

Clin Orthop Surg 2022 Jun 11;14(2):289-296. Epub 2022 Apr 11.

Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Background: The aim of this study was to evaluate clinical outcomes of sodium tetradecyl sulphate (STS) sclerotherapy for conservative treatment of lateral malleolar bursitis of the ankle.

Methods: We reviewed data from 20 consecutive patients (20 ankles) who underwent STS sclerotherapy between August 2018 and June 2019. After aspiration of fluid from the lateral malleolar bursal sac, 2 mL (20 mg) STS was injected into the sac. Read More

J Clin Med 2022 May 30;11(11). Epub 2022 May 30.

Coloproctology Centre, Clinica del Mediterraneo, 97100 Ragusa, Italy.

We thank Johannes Jongen and colleagues for their correspondence [... Read More

J Oral Pathol Med 2022 Jun 8. Epub 2022 Jun 8.

University of Arkansas for Medical Sciences Department of Otolaryngology-Head and Neck Surgery, 4801 W Markham, Little Rock, AR.

Vascular anomalies affect up to 5% of children with the majority affecting the head and neck. They present at different ages as a wide variety of lesions. Careful evaluation with history, physcial examination and imaging assist in the proper diagnosis. Read More

BMJ Case Rep 2022 06 7;15(6). Epub 2022 Jun 7.

Department of Radiology, Changi General Hospital, Singapore.

J Oral Pathol Med 2022 Jun 6. Epub 2022 Jun 6.

Unité de Dermatologie Pédiatrique et Centre de Référence des Maladies Rares de la Peau d'Origine Génétique, Hôpital Pellegrin-Enfants, CHU de Bordeaux, Bordeaux cedex, France.

Depending on impairment, treatment of vascular anomalies is decided on a case-by-case basis in pluridisciplinary consultations. Interventional treatments, especially surgery and sclerotherapy, are usually partially efficient and management of patients with vascular anomalies increasingly involves the use of medical drugs. The most common vascular tumor is infantile hemangioma where first-line medical treatment, when necessary, is propranolol. Read More

ANZ J Surg 2022 Jun 3. Epub 2022 Jun 3.

Department of Pediatric Surgery and Urology, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.

Clin Hemorheol Microcirc 2022 Jun 2. Epub 2022 Jun 2.

Department of Medical Ultrasound, Center of Minimally Invasive Treatment for Tumor, Shanghai Tenth People's Hospital; Ultrasound Research and Education Institute, Clinical Research Center for Interventional Medicine, School of Medicine, Tongji University, Shanghai, China.

Biliary cystadenocarcinoma (BCAC) is an extremely rare intrahepatic cystic tumor. Patients usually present with nonspecific symptoms such as abdominal pain, abdominal distention, and abdominal mass. This tumor occurs most commonly in the left hemiliver and is thought to mainly develop from a benign biliary cystadenoma (BCA). Read More

Laryngoscope 2022 Jun 3. Epub 2022 Jun 3.

Division of Pediatric Otolaryngology-Head and Neck Surgery, Seattle Children's Hospital, Seattle, Washington, U.S.A.

Objectives: Large (De Serres stage [IV-V]) head and neck lymphatic malformations (HNLMs) often have multiple, high-risk, invasive treatments (ITs) to address functional compromise. Logically reducing HNLM ITs should reduce treatment risk. We tested whether delaying HNLM ITs reduces total IT number. Read More

Case Rep Pediatr 2022 24;2022:8245139. Epub 2022 May 24.

Department of Pediatrics, Mohammed VI University Hospital, Oujda, Morocco.

Bean syndrome (BS) or blue rubber bleb nevus syndrome is a rare clinical entity characterized by venous malformations mainly in the skin and digestive tract, whose hemorrhagic complications can be life threatening. We report a case of Bean syndrome in a 3-year-old child of nonconsanguineous parents, in whom the diagnosis of miliary hemangiomatosis was initially made in view of a huge mass on the left thigh, taking the knee, and then the progressive appearance of a skin disorder with bluish swellings of variable sizes spread over the whole body. The patient was put on beta-blockers but without improvement. Read More

Cureus 2022 Apr 27;14(4):e24517. Epub 2022 Apr 27.

Internal Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.

Hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu syndrome, is a very rare autosomal dominant genetic disorder that leads to abnormal blood vessel formation in the skin, mucus membranes (called telangiectasia), and organs such as the lung, liver, and brain. It occurs due to a mutation in one of the , , and  genes, which code for the formation of blood vessels. The most common symptom is recurring nosebleed (epistaxis; due to rupture of nasal mucosal telangiectasia), which begins in childhood and affects about 90-95% of people with HHT. Read More

Vet Ophthalmol 2022 Jun 1. Epub 2022 Jun 1.

Department of Clinical Sciences, North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina, USA.

Objective: To describe the use of 1% polidocanol as the sole treatment for a superficial orbital venous malformation in a horse.

Animal: A 23-year-old Welsh Cobb cross gelding with a distensible swelling affecting the left lower eyelid, and secondary palpebral margin abnormalities and superficial keratitis.

Procedure: Color flow Doppler ultrasonography revealed non-pulsatile blood flow within the tortuous vascular network most consistent with a superficial orbital venous malformation appearing to involve the lateral palpebral and transverse facial veins. Read More

Rev Esp Enferm Dig 2022 May 31. Epub 2022 May 31.

Gastroenterology, Centro Hospitalar Universitário do Porto, Portugal.

Purpose: We aimed to compare polidocanol foam sclerotherapy (SP) versus doppler-guided hemorrhoidal artery ligation with recto-anal repair (HAL-RAR) in the treatment of hemorrhoidal disease (HD).

Methods: Prospective, randomized study including patients with HD grades II and III. Participants were randomly assigned (1:1) into SP or HAL-RAR, during a recruitment period between September 2019 and February 2020. Read More

J Vasc Interv Radiol 2022 Jun;33(6):715-718

Division of Vascular and Interventional Radiology, Toronto General Hospital-University Health Network/University of Toronto, Toronto, Ontario, Canada; Division of General Surgery, Toronto General Hospital-University Health Network/University of Toronto, Toronto, Ontario, Canada.

This study assessed the safety profile of high-volume (>10 mL) 3% sodium tetradecyl sulfate (STS) sclerotherapy for the treatment of renal cysts in patients with autosomal dominant polycystic kidney disease. A total of 211 sclerotherapy treatments were performed in 169 patients over a 5-year period, with a comparison of 2 patient cohorts based on the STS volumes used. The first cohort (n = 112) received a high volume (greater than 10 mL) of STS, and the second cohort (n = 57) received a low volume (less than 10 mL). Read More

Plast Reconstr Surg Glob Open 2022 May 24;10(5):e4348. Epub 2022 May 24.

Department of Plastic and Reconstructive Surgery, The International Center for Lymphedema, Hiroshima University Hospital, Hiroshima, Japan.

Several treatment options, including sclerotherapy and surgical excision, are available for the management of cystic lymphangioma. Lymphaticovenular anastomosis (LVA) has recently garnered attention in the field of microsurgery as a minimally invasive surgical reconstruction strategy. Combined treatment using surgical excision and LVA for large or persistent cystic lymphatic malformations has been reported but can be very invasive. Read More

J Orthop 2022 Jul-Aug;32:72-77. Epub 2022 May 19.

Department of Orthopaedics Seth GS Medical College and KEM Hospital, Mumbai, India.

Objective: The study reports the efficacy of sequential instillations of intralesional percutaneous polidocanol in the treatment of skeletal ABC. The study also analyses the pain relief, recurrence, radiological outcome and complications after percutaneous sclerotherapy.

Materials And Methods: A total of 43 patients with ABC were managed by fluoroscopy assisted percutaneous intralesional sclerotherapy with 3% Injection Polidocanol under suitable anaesthesia. Read More

J Oral Pathol Med 2022 May 24. Epub 2022 May 24.

Center for Vascular Anomalies, Division of Plastic Surgery, VASCERN VASCA European Reference Centre, Saint Luc University Hospital, Brussels, Belgium.

Vascular Anomalies are a heterogenous group of vascular lesions that can be divided, according to the International Society for the Study of Vascular Anomalies Classification, into two main groups : Vascular Tumors and Vascular Malformations. Vascular Malformations can be further subdivided into slow-flow and fast-flow malformations. This clinical and radiological classification allows for a better understanding of vascular anomalies and aims to offer a more precise final diagnosis. Read More