[The embolisation of XXXX ].

@entity1 @entity39 @entity2268 @entity158 @entity1211 @entity1462
BACKGROUND: The treatment of @entity1462 is a challenge for physicians and @entity1 . Although different therapeutic options have been described to date, their individual relevance has still to be defined.    METHODS: We performed a retrospective study of 61 @entity1 with a @entity1211 ( @entity1211 , mean age 22 years), who were referred to our depart-ment during the last 5years. The size of the @entity1211 was larger than 5 cm in 41 @entity1 (66%). The lower extremities were involved in 45 cases (73%). The most frequent clinical manifestations were recurrent swelling (80%), @entity158 (63%), varicosis (60%) and @entity2268 (39%). MR angiography with venous sequences was always performed before treatment. Depending on the localisation and the extension of the @entity1211 , different techniques of embolisation were selected: foam sclerotherapy or application of synthetic glue by direct punction, coiling of pelvic veins or arterial embolisation with glue. RESULTS: 42 @entity1 (69%) underwent a procedure because of the complaints or the extension of the @entity1211 . An embolisation was performed in 25 @entity1 with 65 interventional sessions. The most frequent technique was foam sclerotherapy (45 ), followed by glue injection (13 ), pelvic -venous coiling (6 ) and arterial embolisation with glue (1 ). Fifteen @entity1 (60%) reported a very good and 8 @entity1 a marked improvement (32%). In two cases there was no change of the complaints. The postinterventional complications were severe @entity158 (n=3) and skin/fat @entity39 at the toe of one @entity1 . CONCLUSIONS: The embolisation of @entity1211 is an effective therapeutic tool. Different techniques can be used to address specific localisations and morphological patterns. The com-plication rate is very low when a step-by-step -approach is used, so that a repeat intervention is feasible. However, a more specific documentation of the post-interventional changes of the @entity1211 is needed before a general recommendation can be given.
