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Endovenous Radiofrequency Thermal Ablation and Ultrasound-Guided Foam Sclerotherapy in Treatment of Klippel-Trenaunay Syndrome

Identifieur interne : 001B87 ( Pmc/Checkpoint ); précédent : 001B86; suivant : 001B88

Endovenous Radiofrequency Thermal Ablation and Ultrasound-Guided Foam Sclerotherapy in Treatment of Klippel-Trenaunay Syndrome

Auteurs : Nuttawut Sermsathanasawadi [Thaïlande] ; Kiattisak Hongku [Thaïlande] ; Chumpol Wongwanit [Thaïlande] ; Chanean Ruangsetakit [Thaïlande] ; Khamin Chinsakchai [Thaïlande] ; Pramook Mutirangura [Thaïlande]

Source :

RBID : PMC:3968416

Abstract

Introduction: Klippel-Trenaunay syndrome is composed of port-wine stain, limb hypertrophy and varicose veins.

Methods: The two patients with Klippel-Trenaunay syndrome treated by endovenous radiofrequency thermal ablation and ultrasound-guided foam sclerotherapy of the abnormal veins was conducted.

Results: Radiofrequency thermal ablation resulted in successful occlusion of the incompetent anterior accessory great saphenous vein. Moreover, ultrasound-guided foam sclerotherapy showed complete occlusion of the residual veins. At 6 month follow-up, both patients markedly decreased leg symptoms including pain, cramping, limb swelling, and bulging of veins.

Conclusion: Radiofrequency thermal ablation combined with foam sclerotherapy is a minimally invasive procedure alternative to the standard invasive surgery and can be the option for saphenous ablation in Klippel-Trenaunay syndrome patients.


Url:
DOI: 10.3400/avd.oa.13-00111
PubMed: 24719663
PubMed Central: 3968416


Affiliations:


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PMC:3968416

Le document en format XML

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<div type="abstract" xml:lang="en">
<p>Introduction: Klippel-Trenaunay syndrome is composed of port-wine stain, limb hypertrophy and varicose veins.</p>
<p>Methods: The two patients with Klippel-Trenaunay syndrome treated by endovenous radiofrequency thermal ablation and ultrasound-guided foam sclerotherapy of the abnormal veins was conducted.</p>
<p>Results: Radiofrequency thermal ablation resulted in successful occlusion of the incompetent anterior accessory great saphenous vein. Moreover, ultrasound-guided foam sclerotherapy showed complete occlusion of the residual veins. At 6 month follow-up, both patients markedly decreased leg symptoms including pain, cramping, limb swelling, and bulging of veins.</p>
<p>Conclusion: Radiofrequency thermal ablation combined with foam sclerotherapy is a minimally invasive procedure alternative to the standard invasive surgery and can be the option for saphenous ablation in Klippel-Trenaunay syndrome patients.</p>
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<journal-id journal-id-type="iso-abbrev">Ann Vasc Dis</journal-id>
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<article-id pub-id-type="pmc">3968416</article-id>
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<article-id pub-id-type="doi">10.3400/avd.oa.13-00111</article-id>
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<subject>Original Article</subject>
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<article-title>Endovenous Radiofrequency Thermal Ablation and Ultrasound-Guided Foam Sclerotherapy in Treatment of Klippel-Trenaunay Syndrome</article-title>
<alt-title alt-title-type="left-running-head">Sermsathanasawadi N, et al.</alt-title>
<alt-title alt-title-type="right-running-head">RFA in Treatment of Klippel-Trenaunay Syndrome</alt-title>
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<name>
<surname>Sermsathanasawadi</surname>
<given-names>Nuttawut</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff1"></xref>
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<name>
<surname>Hongku</surname>
<given-names>Kiattisak</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"></xref>
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<name>
<surname>Wongwanit</surname>
<given-names>Chumpol</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Ruangsetakit</surname>
<given-names>Chanean</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"></xref>
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<surname>Chinsakchai</surname>
<given-names>Khamin</given-names>
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<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"></xref>
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<surname>Mutirangura</surname>
<given-names>Pramook</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<aff id="aff1">Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand</aff>
</contrib-group>
<author-notes>
<corresp>Corresponding author: Nuttawut Sermsathanasawadi, MD, PhD. Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, 2 Prannok Road, Siriraj, Bangkoknoi, Bangkok 10700, Thailand Tel: +66-2-419-8021, Fax: +66-2-412-9160</corresp>
<fn>
<p>E-mail:
<email xlink:href="mailto:nuttawut@gmail.com">nuttawut@gmail.com</email>
</p>
</fn>
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<pub-date pub-type="epub">
<day>15</day>
<month>3</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub">
<year>2014</year>
</pub-date>
<volume>7</volume>
<issue>1</issue>
<fpage>52</fpage>
<lpage>55</lpage>
<history>
<date date-type="received">
<day>24</day>
<month>11</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>26</day>
<month>1</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>© Annals of Vascular Diseases 2014</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract>
<p>Introduction: Klippel-Trenaunay syndrome is composed of port-wine stain, limb hypertrophy and varicose veins.</p>
<p>Methods: The two patients with Klippel-Trenaunay syndrome treated by endovenous radiofrequency thermal ablation and ultrasound-guided foam sclerotherapy of the abnormal veins was conducted.</p>
<p>Results: Radiofrequency thermal ablation resulted in successful occlusion of the incompetent anterior accessory great saphenous vein. Moreover, ultrasound-guided foam sclerotherapy showed complete occlusion of the residual veins. At 6 month follow-up, both patients markedly decreased leg symptoms including pain, cramping, limb swelling, and bulging of veins.</p>
<p>Conclusion: Radiofrequency thermal ablation combined with foam sclerotherapy is a minimally invasive procedure alternative to the standard invasive surgery and can be the option for saphenous ablation in Klippel-Trenaunay syndrome patients.</p>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>RFA</kwd>
<kwd>foam sclerotherapy</kwd>
<kwd>Klippel-Trenaunay syndrome</kwd>
</kwd-group>
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