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  • 1
    Electronic Resource
    Electronic Resource
    Therapeutic approach to arteriovenous malformations of the tongue (1998)
    Springer
    European radiology 8 (1998), S. 280-285 
    Details
    ISSN: 1432-1084
    Keywords: Key words: Arteriovenous malformation ; Tongue ; Embolization ; Interventional procedure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Arteriovenous malformations (AVM) are developmental errors with a high complication rate because they are hemodynamically active. The aim of our study is to evaluate management of the rare subgroup of tongue AVM. From 1982 to 1994, 25 patients with AVM of the tongue presented to our department. All patients were discussed in our multidisciplinary staff consultation and were treated by embolization, surgery, or were followed-up clincally with no intervention. Thirteen patients were asymptomatic in a hemodynamically quiescent phase and did not require any kind of intervention. The 12 others underwent embolization procedures following which 6 became stable, 2 had complementary surgery, 1 was lost to follow-up, 1 had two minor bleeding episodes without the need for hospitalization, and 2 were improved. Arteriovenous malformations of the tongue must be followed clinically and treated only if they become active. Permanent embolization with a polymerizing liquid administered through supra-selective catheterization or by direct puncture of the malformation is recommended.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003300050380
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Serious childhood angiomas: unsuccessful alpha-2b interferon treatment. A report of four cases (1993)
    Oxford, UK : Blackwell Publishing Ltd
    British journal of dermatology 129 (1993), S. 0 
    Details
    ISSN: 1365-2133
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Over a 4-year period, we managed four children with alarming haemangiomas (two cases of Kasabach-Merritt syndrome and two life-threatening haemangiomas). Systemic steroid therapy was ineffective. Other treatments (radiotherapy, anti-platelet drugs) were also ineffective in the Kasabach-Merritt patients. On the basis of recent reports on the effects of interferon on endothelial cells, we used alpha-2 interferon therapy, but obtained no response.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2133.1993.tb03181.x
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Vascular cutaneous anomalies in children: malformations and hemangiomas (1996)
    Springer
    Pediatric surgery international 11 (1996), S. 290-295 
    Details
    ISSN: 1437-9813
    Keywords: Vascular malformation ; Hemangioma ; MRI ; Embolization ; Sclerotherapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The vast majority of cutaneous vascular anomalies in infants and children are either malformations or hemangiomas. Vascular malformations are subgrouped, based on channel morphology and rheology: slow-flow (capillary, lymphatic, venous, or combined-complex types) and fast-flow malformations (ectasia, aneurysm, fistula, or arteriovenous anomalies). Noninvasive radiologic techniques, especially ultrasonography with Doppler flow studies and magnetic resonance imaging, serve to document the extent and flow characteristics. Management depends on the type of malformation: laser for capillary malformations; surgical excision for lymphatic malformations; compression, sclerotherapy, and resection for venous malformations; and embolization and/or surgical resection for arteriovenous fistulae/malformations. Hemangiomas are the most common tumors of infancy. The life cycle is divided into three phases: proliferating, involuting, and involuted. Most hemangiomas do not require treatment, although drug therapy is indicated for endangering or life-threatening hemangiomas. Corticosteroids (either systemic or local) and alpha-2a interferon are currently the most effective agents. Surgical resection of problematic hemangiomas can be undertaken during infancy, the preschool years, or childhood.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00497795
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    The current management of cervico-cephalic venous malformations (1996)
    Springer
    Pediatric surgery international 11 (1996), S. 304-307 
    Details
    ISSN: 1437-9813
    Keywords: Cervicofacial venous malformations ; Venous angiomas ; Sclerotherapy ; Vascular malformation ; Ethibloc
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Venous malformations are often detected at birth and progressively increase in size if not treated. They can have severe aesthetic and functional consequences. Our purpose is to evaluate therapeutic results with Ethibloc. From 1982 to 1994, we have been using Ethibloc injections under fluoroscopic control in a group of 421 patients with malformations in cervicofacial veins. The diagnosis was made on the basis of clinical examinations as well as by using CT and MRI. In addition, 40 patients had a diagnostic angiogram. The therapeutic procedure consisted of direct puncture and opacification of venous the basis of lakes before injection of Ethibloc. Two hundred patients have been analyzed. In 139 patients treated with Ethibloc alone, the venous malformations were reduced significantly in size in 64%, while we obtained good results in 67% of the 61 patients treated with a combined procedure (Ethibloc followed by surgical excision). In those, Ethibloc effectively prevented extensive blood loss during surgery and delineated the malformations. Minor complications occurred such as fever or aseptic superficial abscesses. Ethibloc is safe, has no neurotoxicity, is efficient can be repeated many times and facilitates surgery. It must be used as the therapy of choice in venous malformations.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00497798
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Percutaneous sclerotherapy for venous malformation of the lips: a retrospective study of 23 patients (2000)
    Springer
    Neuroradiology 42 (2000), S. 692-696 
    Details
    ISSN: 1432-1920
    Keywords: Key words Lips ; Malformation, venous ; Embolisation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Labial venous malformations are relatively common. Depending on their size, they are responsible for functional and cosmetic handicap. When treatment is indicated, it will be based on percutaneous sclerotherapy, using Ethibloc® or Aetoxysclerol®, with surgery in some patients. Our purpose was to review 23 patients with soft-tissue venous malformations of the lips. Follow-up ranged from 6 months to 4 years. Sclerotherapy alone or with surgical resection achieved good results in 18 patients. In six patients mild improvement was obtained. No worsening of the initial clinical situation occurred, and no persistent complication was observed. We discuss the indications for treatment and the different types of slerosing agent. Percutaneous sclerotherapy is safe and is effective for small and medium-size labial malformations. For larger lesions the treatment is more complex and combined long term sclerotherapy and surgery procedures may be required over several years.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002340000364
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    Paper (German National Licenses)
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