Percutaneous Treatment of Peripheral Vascular Malformations in Children: Long-Term Clinical Outcome

Journal Article · Sun Apr 15 04:00:00 EDT 2012 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-011-0170-6· OSTI ID:21608563

Otoide-Vree, Marleen ^[1]; Pattynama, Peter M. T. ^[2]

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1. Medical Center Haaglanden, Landsteiner Institute (Netherlands)
2. Groene Hart Hospital, Erasmus Medical Center Rotterdam, Department of Radiology (Netherlands)

Purpose: This study was designed to assess the rate of complications and clinical failure at 3 and 12 months after percutaneous treatment of vascular malformations in children. Furthermore, we describe patient satisfaction of treatment results during 5 years of follow-up. Methods: In a retrospective cohort study, we evaluated 26 patients younger than aged 19 years who were treated for symptomatic vascular malformations. Data on treatment outcomes and patient satisfactions were obtained with a precoded structured questionnaire. Patient files and imaging data were retrieved to obtain information regarding the vascular malformations and treatment. Clinical success was defined as disappearance or partial improvement of the complaints. Patient satisfaction was declared whenever patients answered in the questionnaire that they were satisfied with the treatment results. Results: Of 26 eligible patients, we included 23 (88%). The mean follow-up was 36 (range, 15-127) months. Posttreatment, 87% (20/23; 95% confidence interval (CI), 66-97%) of patients reported clinical success at 3 months. At 1, 2, 3, 4, and 5 years of follow-up this percentage was 74%, 59%, 59%, 59%, and 59%, respectively. Eleven (48%, 95% CI 27-69%) patients had experienced complications and 22% (95% CI 7-44%) had major complications, of which 5 had required additional treatment. In all, 83% (19/23) of the patients reported satisfaction with the treatment. Conclusions: Percutaneous treatment of vascular malformations improved clinical symptoms in 87% of the patients at 3 months and were sustainable for half of all patients during a 5-year follow-up period. However, major complications were seen in 22%.

• OSTI ID: 21608563
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 35; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ADULTS
AGE GROUPS
AGED ADULTS
ANIMALS
CHILDREN
ELDERLY PEOPLE
HUMAN POPULATIONS
MALFORMATIONS
MAMMALS
MAN
MINORITY GROUPS
PATHOLOGICAL CHANGES
PATIENTS
POPULATIONS
PRIMATES
SYMPTOMS
VERTEBRATES