AboutKidsHealth

 

 

Sclerotherapy with bleomycin using image guidanceSSclerotherapy with bleomycin using image guidanceSclerotherapy with bleomycin using image guidanceEnglishOtherChild (0-12 years);Teen (13-18 years)BodyArteries;VeinsNon-drug treatmentAdult (19+) CaregiversNA2017-08-04T04:00:00ZMichelle Cote BScN RN;Dalia Bozic MN, RN(EC), NP-PHC;Joao Amaral, MD;Philip John, MD11.000000000000039.2000000000000729.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how bleomycin is used in sclerotherapy to treat vascular malformations. Find information about the advantages of using bleomycin as well as any risks involved and precautions to be considered.</p><h2>What are vascular malformations?</h2><p> <a href="http://www.sickkids.ca/PlasticSurgery/What-we-do/Vascular-Anomalies-Clinic/index.html">Vascular malformations</a> are abnormal clusters of blood vessels that develop before birth. Some may not be noticed until many years later. Some vascular malformations cause no problems, but others interfere with blood flow and can be dangerous. Vascular malformations can cause disfigurement, pain, troublesome swelling, bleeding and infection. Some are associated with growth abnormalities in the affected body part.</p><h2>What is sclerotherapy?</h2><p>Sclerotherapy (sometimes called “sclero”) is a procedure used to treat vascular malformations. A doctor inserts a needle into the skin and injects a special liquid (sclerosant) into the abnormal blood vessel. This makes the blood vessel shrink. Sometimes the malformations can enlarge again and sclerotherapy may be done in stages. Bleomycin is a type of sclerosant.</p><p>Sclerotherapy is done using image guidance by an interventional radiologist.</p><p>For more information on sclerotherapy, please see <a href="/Article?contentid=3206&amp%3blanguage=English">Sclerotherapy using image guidance</a> and <a href="/Article?contentid=1223&amp%3blanguage=English">Sclerotherapy: Caring for your child at home after the procedure</a>.</p> <figure class="asset-c-80"> <span class="asset-image-title">Sclerotherapy using bleomycin</span> <img src="https://assets.aboutkidshealth.ca/akhassets/sclerotherapy_bleomycin_EN.jpg" alt="Needle injecting bleomycin into abnormal blood vessel" /> <figcaption class="asset-image-caption">A) Abnormal blood vessel is injected directly with a needle filled with a liquid called bleomycin. B) Bleomycin works by clotting and shrinking the blood vessel.</figcaption> </figure> <h2>What is bleomycin?</h2><p>Bleomycin is a medicine that is used as a chemotherapy to kill cancer cells but it also has other uses. For example, it has been used as a sclerosant to shrink blood vessels since 1977. Many medical centres around the world use bleomycin for treatment of vascular malformations that involve veins and lymph vessels.</p><h2>Key points</h2><ul><li>Sclerotherapy is used to treat vascular malformations. The sclerosant is injected into the vascular malformation by an interventional radiologist to shrink the malformed blood vessels.</li><li>Bleomycin is a sclerosant that can be used for sclerotherapy for lymphatic and venous malformations.</li><li>Bleomycin is associated with less swelling than other sclerosants.</li><li>Using bleomycin for sclerotherapy is usually considered a low risk procedure.</li><li>Patients who have had bleomycin treatment need to get a yearly health assessment by their primary care physician.</li><li>A chest X-ray will need to be done one to two years following the completion of bleomycin treatment.</li></ul> <h2>How will it be determined if my child can receive bleomycin?</h2><p>Your child will have a clinic visit with the interventional radiologist a few weeks before the procedure to decide on the best treatment options.</p><p>During the visit, your child may:</p><ul><li>see physiotherapy and/or occupational therapy</li><li>obtain information about pressure garments</li><li>have a health assessment to make sure they are healthy and it is safe to have <a href="/Article?contentid=1260&amp%3blanguage=English">sedation</a> or <a href="/Article?contentid=1261&amp%3blanguage=English">general anaesthesia</a></li><li>be sent for photography</li><li>review the consent forms</li><li>have blood work done</li></ul> <h2>At SickKids</h2><p>At SickKids, the interventional radiologists work in the <a href="http://www.sickkids.ca/diagnosticimaging/what-we-do/image-guided-therapy/index.html">Department of Diagnositic Imaging – Division of Image Guided Therapy (IGT)</a>. You can call the IGT clinic at (416) 813-6054 and speak to the clinic nurse during working hours (8:00 to 15:00) or leave a message with the IGT clinic nurse.</p><p>For more information on fasting see <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/Eating-guidelines/index.html">Eating and drinking before surgery</a>.</p><p>For more information on preparing your child for their procedure see <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/index.html">Coming for surgery</a>.</p>

 

 

Sclerotherapy with bleomycin using image guidance3207.00000000000Sclerotherapy with bleomycin using image guidanceSclerotherapy with bleomycin using image guidanceSEnglishOtherChild (0-12 years);Teen (13-18 years)BodyArteries;VeinsNon-drug treatmentAdult (19+) CaregiversNA2017-08-04T04:00:00ZMichelle Cote BScN RN;Dalia Bozic MN, RN(EC), NP-PHC;Joao Amaral, MD;Philip John, MD11.000000000000039.2000000000000729.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how bleomycin is used in sclerotherapy to treat vascular malformations. Find information about the advantages of using bleomycin as well as any risks involved and precautions to be considered.</p><h2>What are vascular malformations?</h2><p> <a href="http://www.sickkids.ca/PlasticSurgery/What-we-do/Vascular-Anomalies-Clinic/index.html">Vascular malformations</a> are abnormal clusters of blood vessels that develop before birth. Some may not be noticed until many years later. Some vascular malformations cause no problems, but others interfere with blood flow and can be dangerous. Vascular malformations can cause disfigurement, pain, troublesome swelling, bleeding and infection. Some are associated with growth abnormalities in the affected body part.</p><h2>What is sclerotherapy?</h2><p>Sclerotherapy (sometimes called “sclero”) is a procedure used to treat vascular malformations. A doctor inserts a needle into the skin and injects a special liquid (sclerosant) into the abnormal blood vessel. This makes the blood vessel shrink. Sometimes the malformations can enlarge again and sclerotherapy may be done in stages. Bleomycin is a type of sclerosant.</p><p>Sclerotherapy is done using image guidance by an interventional radiologist.</p><p>For more information on sclerotherapy, please see <a href="/Article?contentid=3206&amp%3blanguage=English">Sclerotherapy using image guidance</a> and <a href="/Article?contentid=1223&amp%3blanguage=English">Sclerotherapy: Caring for your child at home after the procedure</a>.</p> <figure class="asset-c-80"> <span class="asset-image-title">Sclerotherapy using bleomycin</span> <img src="https://assets.aboutkidshealth.ca/akhassets/sclerotherapy_bleomycin_EN.jpg" alt="Needle injecting bleomycin into abnormal blood vessel" /> <figcaption class="asset-image-caption">A) Abnormal blood vessel is injected directly with a needle filled with a liquid called bleomycin. B) Bleomycin works by clotting and shrinking the blood vessel.</figcaption> </figure> <h2>What is bleomycin?</h2><p>Bleomycin is a medicine that is used as a chemotherapy to kill cancer cells but it also has other uses. For example, it has been used as a sclerosant to shrink blood vessels since 1977. Many medical centres around the world use bleomycin for treatment of vascular malformations that involve veins and lymph vessels.</p><h2>What is the advantage of using bleomcyin?</h2><p>Although traditional sclerotherapy works well, there is often a lot of swelling associated with the treatment. When bleomycin is used there is less swelling and is therefore the preferred treatment when injecting malformations close to your child’s neck, near their airway. Bleomycin works best on some vascular malformations that involve veins and lymph vessels.<br></p> <h2>Key points</h2><ul><li>Sclerotherapy is used to treat vascular malformations. The sclerosant is injected into the vascular malformation by an interventional radiologist to shrink the malformed blood vessels.</li><li>Bleomycin is a sclerosant that can be used for sclerotherapy for lymphatic and venous malformations.</li><li>Bleomycin is associated with less swelling than other sclerosants.</li><li>Using bleomycin for sclerotherapy is usually considered a low risk procedure.</li><li>Patients who have had bleomycin treatment need to get a yearly health assessment by their primary care physician.</li><li>A chest X-ray will need to be done one to two years following the completion of bleomycin treatment.</li></ul> <h2>Follow-up after bleomycin treatment</h2><p>After your child has had bleomycin treatment they will have both short- and long-term follow-up.</p><ul><li>Re-evaluation in clinic, three months after the treatment is complete.</li><li>Continued re-evaluation in the clinic until they are 18 years of age.</li><li>A yearly health assessment by their primary care physician.</li><li>A chest X-ray one to two years after treatment is complete.</li></ul><h2>Special precautions to be considered</h2><p>Patients who have been treated with bleomycin for chemotherapy are given precautions to follow. Even though the dosage of bleomycin used in bleomycin sclerotherapy is very low the same precautions are followed.</p><p>Patients who have been treated with bleomycin should:</p><ul><li>avoid activities that require extra oxygen such as scuba diving</li><li>inform their doctor if they are to undergo general anaeasthesia</li><li>avoid smoking</li></ul> <h2>How will it be determined if my child can receive bleomycin?</h2><p>Your child will have a clinic visit with the interventional radiologist a few weeks before the procedure to decide on the best treatment options.</p><p>During the visit, your child may:</p><ul><li>see physiotherapy and/or occupational therapy</li><li>obtain information about pressure garments</li><li>have a health assessment to make sure they are healthy and it is safe to have <a href="/Article?contentid=1260&amp%3blanguage=English">sedation</a> or <a href="/Article?contentid=1261&amp%3blanguage=English">general anaesthesia</a></li><li>be sent for photography</li><li>review the consent forms</li><li>have blood work done</li></ul> <h2>Is bleomycin safe for my child?</h2><p>Bleomycin should not be used in patients receiving chemotherapy medications or those with abnormal kidney or liver function.</p><h2>What are the risks of using bleomycin?</h2><p>Sclerotherapy is usually considered a low risk procedure. The risk may increase depending on your child’s condition, age and health.</p><p>The major risk associated with bleomycin is lung fibrosis (scarring of the lung). However, lung problems have been associated with large doses of bleomycin, in older adult patients, patients with abnormal kidney function and use of bleomycin in conjunction with another chemotherapy medicine.</p><p>Treatment of vascular malformations in interventional radiology uses very small doses of bleomycin and the total dose your child receives is carefully monitored.</p> <h2>At SickKids</h2><p>At SickKids, the interventional radiologists work in the <a href="http://www.sickkids.ca/diagnosticimaging/what-we-do/image-guided-therapy/index.html">Department of Diagnositic Imaging – Division of Image Guided Therapy (IGT)</a>. You can call the IGT clinic at (416) 813-6054 and speak to the clinic nurse during working hours (8:00 to 15:00) or leave a message with the IGT clinic nurse.</p><p>For more information on fasting see <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/Eating-guidelines/index.html">Eating and drinking before surgery</a>.</p><p>For more information on preparing your child for their procedure see <a href="http://www.sickkids.ca/VisitingSickKids/Coming-for-surgery/index.html">Coming for surgery</a>.</p> https://assets.aboutkidshealth.ca/akhassets/sclerotherapy_bleomycin_EN.jpgSclerotherapy with bleomycin using image guidanceFalse

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.