Percutaneous sclerotherapy has emerged as
an excellent method of treatment.
Hydroxypolyaethoxydodecan is a sclerosing
It has been sucessfully used in the treatment
of AV malformations of
1. GI tract
2. varicose veins
3. Telengiectases, varicose veins
All pts underwent biopsy confirmation
Treatment 3 months after biopsy ( giving
time for spontaneous healing)
Preop volume of the lesion was calculated
< 15 yrs GA, > 15 yrs local
16 gu needle or bone marrow needle used.
Under C arm guidance
1 ml for 1cm3
Lock the needle for 1 min so that no back flow
No more than 10 ml was given
• Follow up
1. 6 weeks
2. 12 weeks
3. 6 months there after
1. Time at which the pain had resolved.
2. The cortical thickness of the wall of the cyst
had started reforming.
3. Lesion had stopped growing in size.
injection was given if any of the above
criteria were not met.
grade I (< 25% of the initial lesion) 66%
grade II (25% to 49%) 30.5%
grade III (50% to 74%) 2.8%
grade IV (75% or more).