Evidence map›Paper›PMID 39888898›Full record

Trial reportPloS one2025

Effect and safety of ethanolamine oleate in sclerotherapy in patients with difficult-to-resect venous malformations: A multicenter, single-arm study.

Mine Ozaki, Tadashi Nomura, Keigo Osuga, Masakazu Kurita, Ayato Hayashi, Shunsuke Yuzuriha, Noriko Aramaki-Hattori, Makoto Hikosaka, Taiki Nozaki, Michio Ozeki and 11 more

Abstract readMulticenter StudyClinical Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Mine OzakiDepartment of Plastic Surgery, Kyorin University Faculty of Medicine, Tokyo, Japan.ORCID 0000-0002-5342-7599
Tadashi NomuraDepartment of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.ORCID 0000-0002-0321-0770
Keigo OsugaDepartment of Diagnostic Radiology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Masakazu KuritaDepartment of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Ayato HayashiDepartment of Plastic and Reconstructive Surgery, Yokohama City University, Yokohama, Kanagawa, Japan.
Shunsuke YuzurihaDepartment of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Noriko Aramaki-HattoriDepartment of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.
Makoto HikosakaDepartment of Plastic and Reconstructive Surgery, National Center for Child Health and Development, Tokyo, Japan.
Taiki NozakiDepartment of Radiology, Keio University School of Medicine, Tokyo, Japan.
Michio OzekiDepartment of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan.
Junko OchiDepartment of Diagnostic Radiology, Suita Tokushukai Hospital, Osaka, Japan.
Shimpei AkiyamaDepartment of Radiology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Yasumasa KakeiDepartment of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.ORCID 0000-0002-5997-514X
Keiko MiyakodaClinical and Translational Research Center, Kobe University Hospital, Kobe, Hyogo, Japan.
Naoko KashiwagiClinical and Translational Research Center, Kobe University Hospital, Kobe, Hyogo, Japan.
Takahiro YasudaDepartment of Medical Devices, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Yuki IwashinaDepartment of Plastic Surgery, Kyorin University Faculty of Medicine, Tokyo, Japan.
Tsuyoshi KanekoDepartment of Plastic and Reconstructive Surgery, National Center for Child Health and Development, Tokyo, Japan.
Kiyoko KamibeppuDivision of Health Sciences and Nursing, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan.ORCID 0000-0002-6532-3690
Takafumi SoejimaDepartment of Child Health Nursing, Kobe University Graduate School of Health Sciences, Kobe, Hyogo, Japan.
Kiyonori HariiDepartment of Plastic Surgery, Kyorin University Faculty of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect and safety of sclerotherapy in patients with difficult-to-resect venous malformations treated with ethanolamine oleate. DESIGN AND

settingThis investigator-initiated clinical trial employed a multicenter, single-arm design and was conducted in Japan. PATIENTS: Overall, 44 patients with difficult-to-resect venous malformations were categorized into two cohorts: 22 patients with cystic-type malformations and 22 patients with diffuse-type malformations, including children (<15 years old).

interventionsAdult patients received injections of 5% ethanolamine oleate solution, double diluted with contrast or normal saline, with a maximum dose of 0.4 mL/kg. The same method of administration was used for children (<15 years old). The maximum volume of the prepared solution in one treatment was 30 mL. EVALUATION

methodsTreatment effect was assessed by evaluating the difference in lesion volume using magnetic resonance imaging as a primary endpoint and differences in pain using a visual analog scale as a key secondary endpoint.

resultsAmong the 45 patients who consented, one was excluded owing to potential intracranial involvement of venous malformations during screening. Regarding the primary outcome, 26 of 44 patients (59.1%, 95% confidence interval: 44.41-72.31%) achieved ≥ 20% reduction in malformation volume, with 16 patients having cystic lesions (72.7%, 51.85-86.85%) and 10 patients having diffuse lesions (45.5%, 26.92-65.34%). Both cohorts showed significant improvement in self-reported pain scores associated with lesions 3 months post-sclerotherapy. No death or serious adverse events occurred. Hemoglobinuria was observed in 23 patients (52%), a known drug-related adverse event. Prompt initiation of haptoglobin therapy led to full recovery within a month for these patients.

conclusionsEthanolamine oleate shows potential as a therapeutic sclerosing agent for patients with difficult-to-resect venous malformations.

Indexed as

Oleic AcidsSclerosing SolutionsSclerotherapyVascular MalformationsAdolescentAdultChildChild, PreschoolFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedTreatment OutcomeYoung Adultethanolamine oleateOleic AcidsSclerosing Solutions

Identifiers

PMID39888898
PMCPMC11785324

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.