دورية أكاديمية
Potential complications of intralesional laser photocoagulation for extensive vascular malformations.
العنوان: | Potential complications of intralesional laser photocoagulation for extensive vascular malformations. |
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المؤلفون: | Fisher DM; Department of Plastic Surgery, Hospital for Sick Children, Toronto, Canada., Chang CJ, Chua JJ, Chen YR, Achauer BM |
المصدر: | Annals of plastic surgery [Ann Plast Surg] 2001 Sep; Vol. 47 (3), pp. 252-6. |
نوع المنشور: | Case Reports; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Little, Brown And Company Country of Publication: United States NLM ID: 7805336 Publication Model: Print Cited Medium: Print ISSN: 0148-7043 (Print) Linking ISSN: 01487043 NLM ISO Abbreviation: Ann Plast Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Boston Ma : Little, Brown And Company Original Publication: Boston, Little, Brown. |
مواضيع طبية MeSH: | Klippel-Trenaunay-Weber Syndrome/*surgery , Laser Coagulation/*adverse effects , Veins/*abnormalities, Adult ; Arm/blood supply ; Child, Preschool ; Female ; Humans ; Leukocytosis/etiology ; Potassium/blood ; Shoulder/blood supply ; Thrombocytosis/etiology |
مستخلص: | Vascular anomalies remain a challenge for both patients and plastic surgeons. Recently, promising results have been reported using intralesional photocoagulation (ILP) to treat extensive vascular lesions. At the authors' center, they have treated more than 300 patients with vascular anomalies in different parts of the body between 1996 and 1999. They describe their operative techniques of ILP. Laser pulses of a 1,064-nm wavelength from the Nd:YAG laser were delivered to the target tissues with a 600-microm optical fiber. They report 2 patients who developed complications after a single session of ILP therapy for their extensive vascular malformations. The first patient had Klippel-Trenaunay syndrome (capillary-lymphaticovenous malformations) with widespread involvement of her buttocks and left lower limb. She had severe leukocytosis, thrombocytosis, and hyperkalemia that resolved with intravenous hydration, antibiotics, and sodium bicarbonate. In their second patient, the entire left upper limb was affected. Her total red cell count diminished by a quarter and her hemoglobin concentration dropped by more than 3 g%. This was corrected gradually with supplemental oral hematinics. Although these complications resolved uneventfully in their patients, they hope that their possible development will caution anyone who may wish to attempt this new method of therapy. |
المشرفين على المادة: | RWP5GA015D (Potassium) |
تواريخ الأحداث: | Date Created: 20010920 Date Completed: 20020116 Latest Revision: 20190812 |
رمز التحديث: | 20231215 |
DOI: | 10.1097/00000637-200109000-00006 |
PMID: | 11562028 |
قاعدة البيانات: | MEDLINE |
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