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Status: Bibliographieeintrag

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Verfasst von:Vollherbst, Dominik [VerfasserIn]   i
 Gebhart, Philipp [VerfasserIn]   i
 Kargus, Steffen [VerfasserIn]   i
 Burger, Astrid [VerfasserIn]   i
 Kühle, Reinald [VerfasserIn]   i
 Günther, Patrick [VerfasserIn]   i
 Hoffmann, Jürgen [VerfasserIn]   i
 Bendszus, Martin [VerfasserIn]   i
 Möhlenbruch, Markus Alfred [VerfasserIn]   i
Titel:Image-guided percutaneous sclerotherapy of venous malformations of the head and neck
Titelzusatz:clinical and MR-based volumetric mid-term outcome
Verf.angabe:Dominik F. Vollherbst, Philipp Gebhart, Steffen Kargus, Astrid Burger, Reinald Kühle, Patrick Günther, Jürgen Hoffmann, Martin Bendszus, Markus A. Möhlenbruch
E-Jahr:2020
Jahr:October29, 2020
Umfang:12 S.
Fussnoten:Gesehen am 25.01.2021
Titel Quelle:Enthalten in: PLOS ONE
Ort Quelle:San Francisco, California, US : PLOS, 2006
Jahr Quelle:2020
Band/Heft Quelle:15(2020,10) Artikel-Nummer e0241347, 12 Seiten
ISSN Quelle:1932-6203
Abstract:Objective To report the clinical and MRI-based volumetric mid-term outcome after image guided percutaneous sclerotherapy (PS) of venous malformations (VM) of the head and neck. Methods A retrospective analysis of a prospectively maintained database was performed, including patients with VM of the head and neck who were treated with PS. Only patients with available pre- and post-interventional MRI were included into this study. Clinical outcome, which was subjectively assessed by the patients, their parents (for paediatric patients) and/or the physicians, was categorized as worse, unchanged, minor or major improvement. Radiological outcome, determined by MRI-based volumetric measurements, was categorized as worse (>10% increase), unchanged (≤10% increase to <10% decrease), minor (≥10% to <25% decrease), intermediate (≥25% to <50% decrease) or major improvement (≥50% decrease). Results Twenty-seven patients were treated in 51 treatment sessions. After a mean follow-up of 31 months, clinical outcome was worse for 7.4%, unchanged for 3.7% of the patients, while there was minor and major improvement for 7.4% and 81.5%, respectively. In the volumetric imaging analysis 7.4% of the VMs were worse and 14.8% were unchanged. Minor improvement was observed in 22.2%, intermediate improvement in 44.4% and major improvement in 11.1%. The rate of permanent complications was 3.7%. Conclusion PS can be an effective therapy to treat the symptoms of patients with VMs of the head and neck and to downsize the VMs. MRI-based volumetry can be used to objectively follow the change in size of the VMs after PS. Relief of symptoms frequently does not require substantial volume reduction.
DOI:doi:10.1371/journal.pone.0241347
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1371/journal.pone.0241347
 Volltext: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0241347
 DOI: https://doi.org/10.1371/journal.pone.0241347
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Adverse events
 Ethanol
 Foams
 Head
 Lesions
 Magnetic resonance imaging
 Neck
 Pain
K10plus-PPN:1745559957
Verknüpfungen:→ Zeitschrift

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