Evidence map›Paper›PMID 41044225›Full record

ArticlePediatric research2026

Bleomycin Electrosclerotherapy (BEST) for treatment of slow-flow vascular malformations in children.

Constantin Goldann, Anna Deleu, Marie Sophie Schüngel, Julius H Loeser, Alena Akinina, Moritz Guntau, Moritz Wildgruber, Vanessa F Schmidt, Walter A Wohlgemuth, Richard Brill

Abstract read
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 3 pooled it
–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

3 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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

10 authors.

Constantin GoldannUniversitätsklinikum Halle (Saale), University Clinic and Policlinic for Diagnostic and Interventional Radiology, Halle (Saale), Saxony-Anhalt, Germany. constantin.goldann@muenchen-klinik.de.
Anna DeleuUniversitätsklinikum Halle (Saale), University Clinic and Policlinic for Diagnostic and Interventional Radiology, Halle (Saale), Saxony-Anhalt, Germany.
Marie Sophie SchüngelUniversitätsklinikum Halle (Saale), University Clinic and Policlinic for Diagnostic and Interventional Radiology, Halle (Saale), Saxony-Anhalt, Germany.
Julius H LoeserUniversitätsklinikum Halle (Saale), University Clinic and Policlinic for Diagnostic and Interventional Radiology, Halle (Saale), Saxony-Anhalt, Germany.
Alena AkininaUniversitätsklinikum Halle (Saale), University Clinic and Policlinic for Diagnostic and Interventional Radiology, Halle (Saale), Saxony-Anhalt, Germany.
Moritz GuntauUniversitätsklinikum Halle (Saale), University Clinic and Policlinic for Diagnostic and Interventional Radiology, Halle (Saale), Saxony-Anhalt, Germany.
Moritz WildgruberDepartment of Radiology, LMU University Hospital, Ludwig-Maximilians-Universität München, Munich, Bavaria, Germany.
Vanessa F SchmidtDepartment of Radiology, LMU University Hospital, Ludwig-Maximilians-Universität München, Munich, Bavaria, Germany.
Walter A WohlgemuthUniversitätsklinikum Halle (Saale), University Clinic and Policlinic for Diagnostic and Interventional Radiology, Halle (Saale), Saxony-Anhalt, Germany.
Richard BrillUniversitätsklinikum Halle (Saale), University Clinic and Policlinic for Diagnostic and Interventional Radiology, Halle (Saale), Saxony-Anhalt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis prospective study evaluates the effectiveness and safety of Bleomycin electrosclerotherapy (BEST) for treating slow-flow vascular malformations in a pediatric cohort. While retrospective studies have reported its efficacy, prospective data in pediatric populations are limited.

methods30 pediatric patients (mean age: 9.5 years) with venous, veno-lymphatic, or capillary-veno-lymphatic malformations were enrolled in the study between 2020 and 2021 and received at least one BEST treatment. Follow-up continued through 2024 (mean: 25 months). MRI volumetry and clinical evaluation were performed at each follow-up.

resultsA total of 58 sessions (mean: 1.81 per patient) led to a median lesion volume reduction from 232 cm³ (range: 1.69 cm³-9814.12 cm³) pre-treatment to 41 cm³ (range: 0.57 cm

conclusionBEST is a safe, effective treatment for pediatric slow-flow malformations, achieving lesion reduction and symptom relief. Future studies are warranted to optimize treatment protocols and establish long-term benefits. IMPACT STATEMENT: Bleomycin Electrosclerotherapy (BEST) is a safe and effective treatment for slow-flow vascular malformations in pediatric patients, achieving lesion volume reduction and symptom improvement. The study assesses BEST exclusively in a pediatric cohort using standardized MRI-based volumetry alongside clinical outcomes. BEST can be effective not only in refractory cases but also as a first-line or early-line treatment option, broadening its potential indications. By indicating a cumulative therapeutic benefit of repeated BEST sessions, the study encourages further investigations into tailored, session-based treatment strategies for large or progressive malformations.

Indexed as

BleomycinElectrochemotherapySclerotherapyVascular MalformationsAdolescentChildChild, PreschoolFemaleHumansMagnetic Resonance ImagingMaleProspective StudiesTreatment OutcomeBleomycin

Identifiers

PMID41044225
PMCPMC13221278

What Socratic holds

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LicenceCC BY
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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 Socratic graph.