Percutaneous Sclerotherapy

Percutaneous Sclerotherapy

What is Percutaneous Sclerotherapy?

• Sclerotherapy is a procedure which is in inducing sclerosis and healing by injection substances which cause intense irritation or reaction.

Where is Sclerotherapy Indicated?

• Indicated in Primary Aneurysmal Bone Cyst
• Ideal Lesion is one which has intact cortices (No breach or fracture)

https://bonecancer.in/2020/05/01/aneurysmal-bone-cyst/

How is Sclerotherapy Performed?

• Day care basis
• Under local anesthesia and/or general anesthesia
• Small Scar (Similar to Core Needle Biopsy)
• First step Is to biopsy the area under image guidance and confirm the diagnosis (bloody aspiration in case of Primary ABC)
• Next step is when a curette is used to scrape the wall of cavity under image guidance (making sure not to breach the wall) and aspirating its contents.
• The sample is sent for further histopathological correlation.
• The above step may be repeated depending on the crypts/septate and size of lesion.
• Next, 3% Polidocanol is injected (maximum of 4cc) into cavity in all directions.
• Adequate digital compression is given and followed by application of compression bandage.

What precautions to be taken post Sclerotherapy?

• Avoid strenuous activities.
• In case of lower limb, a degree of protection from bearing full weight may be advised.

How long does it take for results in Curopsy?

• It takes an average of 3 -6 months for discernible results on Sclerotherapy.

Does sclerotherapy need be repeated?

• Yes, complete healing is seen on an average of 2-3 injections.
• The interval between injections is between 2-3 months.

What is success rate of Sclerotherapy?

• The rate of success has been show between 84 to 92 %.
• In such, cases the lesion is treated with extended curettage as feasible.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822137/