Rofo 2017; 189(S 01): S1-S124
DOI: 10.1055/s-0037-1600483
Poster (Wissenschaft)
Interventionelle Radiologie
Georg Thieme Verlag KG Stuttgart · New York

Interventional treatment of peripheral vascular malformations – Long-term results with special emphasis on Quality of Life aspects

B Greling
1   Sana Kliniken Duisburg, Radiologie und Neuroradiologie, Duisburg
,
D Meila
2   Sana Kliniken Duisburg, Medizinische Hochschule Hannover, Klinik für Radiologie und Neuroradiologie, Institut für Diagnostische und Interventionelle Neuroradiologie, Duisburg
,
D Grieb
3   Sana Kliniken Duisburg, Klinik für Radiologie und Neuroradiologie, Duisburg
,
K Melber
3   Sana Kliniken Duisburg, Klinik für Radiologie und Neuroradiologie, Duisburg
,
T Schmitz
3   Sana Kliniken Duisburg, Klinik für Radiologie und Neuroradiologie, Duisburg
,
M Schlunz-Hendann
3   Sana Kliniken Duisburg, Klinik für Radiologie und Neuroradiologie, Duisburg
,
F Brassel
3   Sana Kliniken Duisburg, Klinik für Radiologie und Neuroradiologie, Duisburg
,
DA Loose
4   Bereich Gefäßchirurgie und Angiologie, Die Facharztklinik Hamburg und Klinik Fleetinsel Hamburg, Hamburg
› Author Affiliations
Further Information

Publication History

Publication Date:
23 March 2017 (online)

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Zielsetzung:

We present our long-term results of patients with peripheral venous malformations (PVM) and peripheral arteriovenous malformations (PAVM) after interventional treatment.

Material und Methodik:

We retrospectively analyzed the medical files of 100 patients with PVM (41) and PAVM (59) that were treated between 2002 and 2014 at our department. The interventional procedure of choice for PAVM was primarily a transarterial superselective embolization using liquid embolic agents, and percutaneous sclerotherapy with Polidocanol for PVM. Patients answered a symptoms based Quality of Life (QoL) questionnaire before and after treatment.

Ergebnisse:

30 patients with PVM and 44 patients with PAVM answered the questionnaire. In 407 therapeutic sessions (PVM: 112, PAVM: 295) 16 minor complications directly related to the treatment were encountered. 70% in PVM-group reported an improvement in motion pain, 54% in PAVM-group. 70% in PVM-group reported an improvement in rest pain, 50% in PAVM-group. 50% in PVM-group reported an improvement in functional impairment, 52% in PAVM-group. 40% in PVM-group reported an improvement in skin deformity, 27% in PAVM-group. 56% in PVM-group reported an improvement in swelling, 50% in PAVM-group. 34% in PVM-group reported an improvement in sensibility disorders, 13% in PAVM-group. 53% in PVM-group reported an improvement in impairment in daily life, 50% in PAVM-group. More than 95% of patients with PAVM and PVM were very satisfied with their treatment in general.

Schlussfolgerungen:

Interventional treatment is a well-tolerated therapy for PAVM an PVM with a low complication rate. Positive subjective results and improvement in different aspects of QoL can be achieved.