Potential complications of intralesional laser photocoagulation for extensive vascular malformations

David M. Fisher, Cheng Jen Chang, Jun Jin Chua, Yu Ray Chen, Bruce M. Achauer

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

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-μm 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.

Original languageEnglish
Pages (from-to)252-256
Number of pages5
JournalAnnals of Plastic Surgery
Volume47
Issue number3
DOIs
Publication statusPublished - Jan 1 2001
Externally publishedYes

Fingerprint

Vascular Malformations
Light Coagulation
Lasers
Blood Vessels
Klippel-Trenaunay-Weber Syndrome
Hematinics
Optical Fibers
Thrombocytosis
Hyperkalemia
Buttocks
Sodium Bicarbonate
Leukocytosis
Solid-State Lasers
Human Body
Upper Extremity
Lower Extremity
Hemoglobins
Cell Count
Anti-Bacterial Agents
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Potential complications of intralesional laser photocoagulation for extensive vascular malformations. / Fisher, David M.; Chang, Cheng Jen; Chua, Jun Jin; Chen, Yu Ray; Achauer, Bruce M.

In: Annals of Plastic Surgery, Vol. 47, No. 3, 01.01.2001, p. 252-256.

Research output: Contribution to journalArticle

Fisher, David M. ; Chang, Cheng Jen ; Chua, Jun Jin ; Chen, Yu Ray ; Achauer, Bruce M. / Potential complications of intralesional laser photocoagulation for extensive vascular malformations. In: Annals of Plastic Surgery. 2001 ; Vol. 47, No. 3. pp. 252-256.
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