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Titolo:
INTERVENTIONAL THERAPY OF A HEPATIC HEMANGIOENDOTHELIOMA IN A NEWBORNUSING A VENOUS APPROACH
Autore:
PEUSTER M; WINDHAGENMAHNERT B; FINK C; KARDORFF R; FUCHS J; HAUSDORF G;
Indirizzi:
HANNOVER MED SCH,ABT KINDERHEILKUNDE & PADIATR KARDIOL 3,CARL NEUBERGSTR 1 D-30625 HANNOVER GERMANY HANNOVER MED SCH,ABT KINDERHEILKUNDE & PADIATR NIEREN & STOFFWECHS D-30625 HANNOVER GERMANY HANNOVER MED SCH,ABT KINDERCHIRURG 8,ZENTRUM CHIRURG D-30625 HANNOVERGERMANY
Titolo Testata:
Zeitschrift fur Kardiologie
fascicolo: 10, volume: 87, anno: 1998,
pagine: 832 - 836
SICI:
0300-5860(1998)87:10<832:ITOAHH>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
GER
Soggetto:
HEMANGIOMAS; MANAGEMENT; INFANTS; LIVER; CHILDHOOD; INTERFERON; DIAGNOSIS; CHILDREN; TUMORS;
Keywords:
HEMANGIOENDOTHELIOMA; GASTROINTESTINAL TRACT; EMBOLIZATION; CONGESTIVE HEART FAILURE; ARTERIOVENOUS MALFORMATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
M. Peuster et al., "INTERVENTIONAL THERAPY OF A HEPATIC HEMANGIOENDOTHELIOMA IN A NEWBORNUSING A VENOUS APPROACH", Zeitschrift fur Kardiologie, 87(10), 1998, pp. 832-836

Abstract

We report on a newborn (birth weight 3600 g) with high-output cardiacfailure due to a large hepatic hemangioendothelioma requiring mechanical ventilation. One day post-partum therapy with steroids, furosemide, and digitalis was initiated. Despite this, the clinical condition deteriorated. Therefore, selective coil-embolization of the arterial vessels supplying the hemangioendothelioma was performed using a venous approach with passage to the arterial side via the ductus arteriosus. After the embolization the patient improved quickly and he was extubated 4 days postinterventionally. Follow-up sonography 4 months postinterventionally showed dramatic regression of the hepatic tumor. We conclude that the coil-occlusion of hepatic hemangioendothelioma should be performed early in symptomatic newborns as arterial puncture and its associated complications can be avoided by using a venous approach with passage to the arterial side via the ductus arteriosus. In addition, in this age group, access to the portal system can be gained through the umbilical vein to occlude portal venous supplies to the hepatic hemangioendothelioma.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/09/20 alle ore 00:01:30