Endovascular Laser Treatment of Venous Malformation in Children
Akkrapol Mungnirandr MD*, Chanean Ruansetakit MD**
Affiliation : * Division of Pediatric Surgery, Department of Surgery, Siriraj Hospital, Mahidol University, Bangkok, Thailand ** Division of Vascular surgery, Department of Surgery, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Objective : To review the results of endovascular laser treatment of venous malformation in pediatric age group.
Material and Method: Retrospective review of children with venous malformation treated with endovascular laser from
January 2010to December 2014 was conducted. The demographic data, natural history of disease, operative technical
problem, postoperative results and complications of the patients were collected and assessed.
Results : There were 4 patients included in the study. The average age was 6.86 years. The presenting symptoms varied from
asymptomatic, visible mass or large vessels to bleeding mass and pain on walking. There was no intraoperative complica-
tion. Post-operative follow-up at 2-6 months showed complete remission in all patients. One patient had partial recurrence
and underwent complete surgical removal.
Conclusion : Endovascular laser treatment was effective in the treatment of venous malformation. Associated vascular
malformation and venous insufficiency were commonly found. Recurrent venous malformation lesions after treatment are
usually small and easier to remove.
Keywords : Endovascular, Laser, Children
