Clinical effect and complication management of superselective arterial embolization in children with Parkes-Weber syndrome
10.3969/j.issn.1002-1671.2025.02.028
- VernacularTitle:超选择动脉栓塞治疗儿童 Parkes-Weber综合征的临床疗效及并发症处理
- Author:
Xinxian LIU
1
;
Fan FEI
1
;
Yanyan GUO
1
;
Bin ZHOU
1
;
Yaqi WANG
1
;
Jiahui KE
1
Author Information
1. 华中科技大学同济医学院附属武汉儿童医院(武汉市妇幼保健院)介入放射科/血管瘤科,湖北 武汉 430016
- Publication Type:Journal Article
- Keywords:
superselective arterial embolization;
children;
Parkes-Weber syndrome;
clinical efficacy;
complication
- From:
Journal of Practical Radiology
2025;41(2):302-305
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy of superselective arterial embolization in children with Parkes-Weber syndrome(PWS),and the prevention and treatment of postoperative complications.Methods Nine patients with PWS diagnosed by clinical and imaging examinations were selected.Under general anesthesia,the catheter was cannulated to all levels of branch arteries and lesion sites using the Seldinger technique.Absorbent gelatin sponge particle(or lipiodol)was selected according to the angiographic situation,and then target vessel embolization was performed.Patients with venous malformations were treated with local sclerotherapy at the same time.The patients were followed up for 1 month,3 months,6 months and 1 year after the operation to observe the clinical efficacy and complication.Results All 9 patients were successfully treated with interventional therapy.Arteriography showed that micro arteriovenous fistula existed at the distal end of multiple branch arteries,and the arteriovenous fistula had been closed after embolization.Review after 1 month of interventional therapy,the color spot of the affected limb became lighter,the temperature decreased,the leg circumference decreased,and the pain was relieved of all 9 cases.Three patients had skin deep color 2-3 days after the operation,so they were given hirudoid local smear,3 times/day,local warm water wet compress,raised limb position,local massage and other methods,and the local skin color gradually recovered after 1 week;On the 15th day after the operation,2 patients suffered from ischemic necrosis at the embolic site,skin color deepened,and tenderness.They were locally disinfected with hirudoid,aurantium peptide,normal saline,and iodophor.The skin broke and scabbed more than 1 month after the operation,the skin ulcer improved and new granulation tissue grew up 1.5 months after the operation;One case had no obvious reduction of the lesion 1 month after the operation,so the second intervention was performed.Conclusion Superselective arterial embolization is effective in the treatment of PWS in children,but the prevention of complications should be paid attention to and complications should be timely treated.
