Real-time MRI-guided percutaneous sclerotherapy treatment of venous low-flow malformations in the head and neck

Phlebology
Sasan PartoviIndravadan J Patel

Abstract

Purpose This manuscript describes the technique of real-time MRI-guided sclerotherapy for low-flow venous malformations in the head and neck based on our institutional experience. Materials and methods Ethanolamine oleate is used as the sclerosant and is mixed with gadolinium for visualization during the procedure. The five procedural steps include: (I) an initial tri-plane T2-weighted sequence to visualize the lesion; (II) a T1 FSE or trueFISP sequence to assess needle placement and advancement within the lesion; (III) a tri-plane T1 FLASH sequence to monitor sclerosant injection; (IV) a T1 FSE or VIBE sequence to assess sclerosant coverage of the malformation before needle removal; (V) a post-procedural tri-plane T1 fat-saturated sequence to confirm sclerosant coverage of the lesion. Periprocedural medications typically include steroids, antibiotic prophylaxis, and non-steroidal anti-inflammatory medication. Patients are typically admitted for overnight observation. Conclusion Real-time MRI-guided sclerotherapy for low-flow venous malformations in the head and neck is effective and safe.

References

Sep 1, 1990·Radiographics : a Review Publication of the Radiological Society of North America, Inc·W F YakesT E Carter
Mar 4, 2000·AJR. American Journal of Roentgenology·L F DonnellyG S Bisset
Nov 14, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·J DuboisE Therasse
Jan 24, 2003·Journal of Magnetic Resonance Imaging : JMRI·Christoph U HerbornStephan G Ruehm
May 6, 2004·Journal of Vascular and Interventional Radiology : JVIR·Patricia E Burrows, Keira P Mason
Nov 17, 2004·European Journal of Radiology·U RimonB Morag
Aug 9, 2005·Magnetic Resonance Imaging Clinics of North America·Daniel T BollJonathan S Lewin
Dec 29, 2005·Lymphatic Research and Biology·Jill M Weinstein, Sarah L Chamlin
Aug 3, 2007·Human Molecular Genetics·Pascal Brouillard, Miikka Vikkula
Jun 2, 2009·Journal of Vascular and Interventional Radiology : JVIR·Gustav AndreisekThomas Pfammatter
Aug 1, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·William E ShielsGregory J Wiet
Jun 29, 2010·Journal of Neurology, Neurosurgery, and Psychiatry·Daniel KondziellaMarkus Axelsson
Feb 4, 2011·Pediatric Surgery International·Shafiqul Hoque, Bijoy Krishna Das
Oct 13, 2011·Journal of Neurointerventional Surgery·Zachary Love, Daniel Pierce Hsu
Oct 25, 2013·Journal of Neurointerventional Surgery·Matthew David AlexanderHuy M Do
Jul 1, 2015·Journal of Neurointerventional Surgery·Venu VadlamudiAlon Kahana
Jan 3, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Sophie E R HorbachChantal M A M van der Horst
May 18, 2016·Journal of Vascular and Interventional Radiology : JVIR·Samer HarmoushSheena Pimpalwar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.