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Can ultrasonography-guided aspiration and steroid injection treat reflux venous blood flow around symptomatic Baker’s cysts? Our short-term experience

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Abstract

Objective

The aim of the current study was to investigate the efficacy of ultrasonography-guided aspiration treatment with concomitant steroid injection on relieving reflux blood flow in veins located next to symptomatic Baker’s cyst.

Methods

All patients were examined by ultrasonography at administration and 1 month follow-up after intervention. Puncture and aspiration of the cyst, as well as injection of 1 ml dexamethasone were performed by the same radiologist. Compression on popliteal vein and vena saphena parva and the degrees of reflux before and after treatment were recorded.

Results

Twenty-six patients were included in the study. An overall reduction of the cyst’s size was observed in all patients of the study group. Reduction of the cyst size is more evident during the 1st week, which was observed by a slight enlargement during the 1st and the 3rd months controls.

Conclusion

Ultrasonography-guided puncture, aspiration and steroid injection seems to yield promising outcomes in terms of relieving venous reflux flow around simple Baker’s cysts.

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Acknowledgements

No financial support was received for this paper.

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Authors and Affiliations

  1. Department of Radiology, Dr. Sami Ulus Children’s Health and Diseases Training and Research Hospital, Ankara, Turkey

    Emin Cakmakci & Ayse Secil Eksioglu

  2. Department of Radiology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey

    Irfan Celebi

  3. Department of Radiology, Kartal Training and Research Hospital, Istanbul, Turkey

    Safiye Tokgoz Ozal & Ozlem Kolcak

  4. Department of Radiology, Tekirdag Government Hospital, Tekirdag, Turkey

    Mucahit Dogru

Authors
  1. Emin Cakmakci
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  2. Irfan Celebi
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  3. Safiye Tokgoz Ozal
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  4. Ayse Secil Eksioglu
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  5. Ozlem Kolcak
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  6. Mucahit Dogru
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Corresponding author

Correspondence to Emin Cakmakci.

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Conflict of interest

Emin Cakmakci, Irfan Celebi, Safiye Tokgoz Ozal, Ayse Secil Eksioglu, Ozlem Kolcak and Mucahit Dogru declares that they have no conflict of interest.

Funding

None.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the patients of all participants included in the study.

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Cakmakci, E., Celebi, I., Ozal, S.T. et al. Can ultrasonography-guided aspiration and steroid injection treat reflux venous blood flow around symptomatic Baker’s cysts? Our short-term experience. Radiol med 122, 690–695 (2017). https://doi.org/10.1007/s11547-017-0771-5

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  • DOI: https://doi.org/10.1007/s11547-017-0771-5

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