Treatment of Low-flow Vascular Malformations by Ultrasound-guided Sclerotherapy with Polidocanol Foam: 24 Cases and Literature Review

AbstractObjectivesTreatment by sclerotherapy has been suggested as a first-line treatment of low-flow vascular malformations. This study reports our experience in treating low-flow vascular malformations by ultrasound-guided sclerosis with polidocanol foam at the Vascular Medicine Department in Grenoble, France.DesignRetrospective single-centre consecutive series.Materials and methodsBetween January 2006 and December 2009, we analysed the complete records of patients with symptomatic low-flow vascular malformations of venous, lymphatic or complex type (Klippel–Trenaunay syndrome, KTS) treated by ultrasound-guided sclerosis. The therapeutic indication was always validated by the Consultative Committee for vascular malformations of the University Hospital of Grenoble. All vascular malformations were classified according to the Hamburg Classification. The sclerosing agent was polidocanol used as foam.ResultsA total of 24 patients between 7 and 78 years were treated (19 venous malformations, three KTSs and two venous-lymphatic malformations). The concentrations of polidocanol used ranged from 0.25% to 3%. The average number of sessions was 2.3 (1–16). After a median follow-up at 5 months after the last session, 23 out of 24 patients reported a decrease in pain; in nine cases (37.5%), over 50% reduction in size was observed, and in 14 cases (58.3%), a reduction of less than 50% of the original size was obtained. Two minor side effects were reported.ConclusionsTreatment by ultrasound-guided sclerosis using polidocanol foam seems to be well tolerated and can improve the symptoms of low-flow malformations without the risks of more aggressive sclerosing agents, such as ethanol

Les grands domaines d'application actuels et futurs de spot dans le secteur forestier

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A case of ecological specialization in ladybirds: Iberorhyzobius rondensis

International audienceSpecialization is an important attribute of a biological control agent. The maritime pine bast scale, Matsucoccus feytaudi Ducasse (Hemiptera Matsucoccidae), is an invasive species in Southeast France and the North of Italy. Iberorhyzobius rondensis Eizaguirre (Coleoptera: Coccinellidae), is a recently described ladybird species. Both adults and larvae are predaceous, feeding on egg masses of M. feytaudi, and are strongly attracted to M. feytaudi's sex pheromone. To evaluate the potential of I. rondensis as a biocontrol agent of the scale, we studied its niche breadth and prey range with emphasis on pine forests and hemipterans as tested prey. In this study, I. rondensis was found to achieve complete development only when fed on M. feytaudi egg masses (92.9% survival) and an artificial prey: eggs of Ephestia kuehniella Zeller (27.6% survival). From the 2nd instar onwards, complete development could be achieved using other prey species, although larvae had significantly higher mortality and slower development. In choice tests, M. feytaudi was the preferred prey. Surveys of the ladybird populations in the Iberian Peninsula revealed that it was found exclusively on Pinus pinaster Aiton, the sole host of M. feytaudi. The unusual specialization of I. rondensis, among other predaceous ladybirds, makes it an appropriate candidate for classical biological control of M. feytaudi