RecruitingNCT06189092

Treatment of Low-flow Venous Malformations With Electrosclerotherapy. Prospective Observational Study

Trattamento Delle Malformazioni Venose a Basso Flusso Con l'Elettroscleroterapia. Studio Osservazionale Prospettico


Sponsor

Istituto Ortopedico Rizzoli

Enrollment

65 participants

Start Date

Oct 28, 2023

Study Type

OBSERVATIONAL

Conditions

Summary

Venous malformations (MVs) are congenital abnormalities of the central or periphery caused by developmental errors at different stages of embryogenesis. Histologically they are characterized by large, venous-like vascular spaces. Scleroembolization constitutes the most widespread method in the treatment of venous malformations allowing good results with low invasiveness. Currently, Bleomycin (and its derivatives) is among the most widely used sclerosing agents for slow-flowing vascular malformations (venous and lymphatic malformations) because of the low rate of local serious adverse events such as swelling, necrosis, and nerve injury compared with others.


Eligibility

Min Age: 16 Years

Inclusion Criteria3

  • Diagnosis of low-flow venous malformations eligible for electrosclerotherapy
  • Non-indication for embolizing treatment
  • Previous treatments are not an exclusion factor, provided that at least 30 days have elapsed.

Exclusion Criteria10

  • Previous treatment for \< 30 days
  • Pregnancy and lactation status
  • Patients of childbearing age without contraceptive use
  • Presence of metal synthetic media
  • COPD with FiO2 \< 30 mmHg
  • Impaired renal function with eGFR\<30 ml/min/1.73mq
  • Patients with Bleomycin intolerance or previous episodes of toxicity Bleomycin-related
  • Patients who have already received a cumulative dose of Bleomycin ≥100 mg
  • Patients who have undergone prior thoracic radiotherapy
  • Patients with a history of seizures and epilepsy

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Interventions

DRUGBleomycin

Using electroporation to infuse bleomycin in the lesion


Locations(1)

Istituto Ortopedico Rizzoli

Bologna, Emilia-Romagna, Italy

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NCT06189092


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