| Autor: |
Matthew Robert Augustine, Scott Thompson, Garret Powell, Erica Knavel-Koepsel, Daniel Adamo, Emily Bendel, Katelyn Anderson, Haraldur Bjarnason, Megha Tollefson, David A. Woodrum |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Journal of Vascular and Interventional Radiology. 34:197-204 |
| ISSN: |
1051-0443 |
| DOI: |
10.1016/j.jvir.2022.10.019 |
| Popis: |
To evaluate the safety and effectiveness of percutaneous MRI-guided laser ablation for the treatment of symptomatic soft tissue vascular malformations (VM) in the face and neck.An IRB-approved retrospective review was undertaken of all consecutive patients who underwent MRI-guided and monitored laser ablation for treatment of symptomatic, cervicofacial soft tissue VM. Pre- and post-ablation MR imaging was independently reviewed. Pre- and post-ablation VM size was documented. Pre-ablation T2 signal characteristics and enhancement pattern as well as post-ablation change in both signal and enhancement were semi-quantitatively assessed. Change in VM size was compared using a paired t-test.Thirteen patients (9F; age 14.5 to 69.5) with 13 VM were treated for moderate to severe pain (n=4), swelling/mass effect (n=8), or predominately cosmesis (n=1) with 22 total ablation sessions. Baseline maximum VM diameter was 5.7±4.2 cm. At baseline, all VM (100%) demonstrated variable T2-weighted signal hyperintensity and enhancement. For painful VM, the baseline pain score was 8±1. Clinical follow-up was available for 10 patients. Of patients with available follow-up, 3 patients (100%) treated for moderate to severe pain and 7 patients (100%) treated for swelling/mass effect reported subjective complete or partial symptomatic relief. The patient treated predominately for cosmetic reasons was lost to follow-up. Two patients (15.4%) experienced minor complications by SIR standards. There were no major adverse events.MRI-guided and monitored percutaneous laser ablation is safe and effective for treatments for symptomatic, cervicofacial vascular malformations. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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