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Journal of Vascular Surgery
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Journal of Vascular Surgery
Article . 2013
License: Elsevier Non-Commercial
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Journal of Vascular Surgery
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Ethanol embolotherapy of foot arteriovenous malformations

Authors: Hyun, Dongho; Do, Young Soo; Park, Kwang Bo; Kim, Dong-Ik; Kim, Young Wook; Park, Hong Suk; Shin, Sung Wook; +1 Authors

Ethanol embolotherapy of foot arteriovenous malformations

Abstract

To review initial clinical presentation, treatment course, and results of ethanol embolotherapy for foot arteriovenous malformations (AVMs) and to analyze prognostic factors for treatment results.Twenty-nine patients (mean age, 31.3 years; range, 9-59) who underwent ethanol embolotherapy between 1999 and 2012 were retrospectively reviewed. Initial clinical manifestation, medical history, treatment results of ethanol embolotherapy, and major and minor complications were reviewed in detail. Two radiologists analyzed the extent of AVM involvement, modified angiographic classification by Cho et al, presence of feeding artery aneurysm, degree of devascularization after embolotherapy, and treatment results. From the analysis, prognostic factors for final outcome were assessed.The most common symptom was pain (83%; 24/29), followed by ulcer (52%; 15/29), mass (48%; 14/29), varicosity (38%; 11/29), and swelling (31%; 9/29). On baseline angiogram, lesion extent 25% having 55%. There was no correlation between angiographic type and outcome (P > .05; ρ = 0.143).Ethanol embolotherapy for foot AVMs can be as effective and safe as for other body parts. From the analysis of angiographic findings, foot AVMs that involve <25% of the area of the foot are prone to show better treatment outcomes from ethanol embolotherapy.

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Keywords

Adult, Male, Adolescent, Arteriovenous Malformations, Young Adult, Humans, Child, Retrospective Studies, Ethanol, Foot, Angiography, Middle Aged, Embolization, Therapeutic, Treatment Outcome, Solvents, Surgery, Female, Cardiology and Cardiovascular Medicine, Follow-Up Studies

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
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    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
46
Top 10%
Top 10%
Top 10%
hybrid
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