Percutaneous Sclerotherapy as Therapeutic Option in Benign Vascular Lesions: A Retrospective Study

Authors

  • Om Biju Panta Nepal Mediciti Hospital, Lalitpur, Nepal
  • Abhishek Adhikari Nepal Mediciti Hospital, Lalitpur, Nepal
  • Babin Basnet Nepal Mediciti Hospital, Lalitpur, Nepal
  • Barsha Pantha Post Graduate Institute of Medical Education and Research, Chandigarh, India
  • Ram Kumar Ghimire Nepal Mediciti Hospital, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/njr.v13i2.59967

Keywords:

Hemangioma, Sclerotherapy, Vascular Malformations, Venous Malformations

Abstract

Introduction:Sclerotherapy, a minimally invasive approach, has gained prominence as a therapeutic modality for the treatment of these lesions. The objective of this article is to assess clinical success, complications and periprocedural pain score of sclerotherapy and their variation with the nature of the lesion and choice of sclerosants.

Methods: This was a hospital record-based retrospective study in a tertiary care centre in Kathmandu. Sclerotherapy done in the institute from January 2019 to December 2022 was evaluated for the nature of the lesion, clinical success, number of sessions, periprocedural pain score and complications. All sclerotherapy was performed under combined USG and fluoroscopic guidance by an interventional radiologist. Data was entered in predesigned proforma and data analysis was done using SPSS 25.0.

Results: A total of 33 patients underwent 61 sessions of sclerotherapy during the study period. Venous malformation (72.2%) was the most common vascular lesion followed by hemangioma. There was significant resolution of symptoms post sclerotherapy pain relief in 95% complete resolution of swelling in 65.38 % and partial resolution with acceptable cosmetic results in 26.92% of cases. Only minor complications were seen in 6.5% of cases. The median periprocedural pain score was 5 with an interquartile range of 2. Periprocedural pain was significantly less with sodium tetradecyl sulphate than with alcohol(P-0.002). The resolution of swelling was less in hemangiomas than in other lesions, while pain relief was similar for all lesions. Complications were seen only in the alcohol group.

Conclusions: Sclerotherapy is a safe and effective procedure for benign vascular lesions. Complications and periprocedural pain are less with sodium tetradecyl sulphate as compared to alcohol.

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Author Biographies

Om Biju Panta, Nepal Mediciti Hospital, Lalitpur, Nepal

Associate Consultant, Department of Radiology and Imaging

Abhishek Adhikari, Nepal Mediciti Hospital, Lalitpur, Nepal

Resident, Department of Radiology and Imaging

Babin Basnet, Nepal Mediciti Hospital, Lalitpur, Nepal

Junior Consultant , Department of Radiology and Imaging

Barsha Pantha, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Resident, Department of General Surgery

Ram Kumar Ghimire, Nepal Mediciti Hospital, Lalitpur, Nepal

Chief Consultant and Head of Department, Department of Radiology and Imaging

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Published

2023-11-24

How to Cite

Panta, O. B., Adhikari, A., Basnet, B., Pantha, B., & Ghimire, R. K. (2023). Percutaneous Sclerotherapy as Therapeutic Option in Benign Vascular Lesions: A Retrospective Study. Nepalese Journal of Radiology, 13(2), 21–25. https://doi.org/10.3126/njr.v13i2.59967

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Section

Original Articles