Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-13262
Kretschmar, O; Knirsch, W; Bernet, V (2008). Interventional treatment of a symptomatic neonatal hepatic cavernous hemangioma using the Amplatzer vascular plug. Cardiovascular and Interventional Radiology, 31(2):411-414.
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Percutaneous intervention is one treatment option for symptomatic hepatic hemangioma in infants. We report the case of a newborn (birth weight 4060 g) with a large hepatic cavernous hemangioma, which presented early with high cardiac output failure due to arteriovenous shunting and signs of incipient Kasabach-Merritt syndrome. We performed a successful superselective transcatheter coil embolization of three feeding arteries on the seventh day of life. Because of remaining diffuse very small arteries causing a relevant residual shunt, additional occlusion of the three main draining veins was necessary with three Amplatzer vascular plugs. Cardiac failure resolved immediately. Without any additional therapy the large venous cavities disappeared within the following months. The tumor continues to regress in size 8 months after the intervention.
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|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Children's Hospital Zurich > Medical Clinic|
|DDC:||610 Medicine & health|
|Deposited On:||19 Feb 2009 21:06|
|Last Modified:||27 Nov 2013 18:47|
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