Τίτλος:
Transarterial embolization of giant liver hemangiomas associated with kasabach-merritt syndrome: A case report
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Of 22 patients with symptomatic giant liver hemangiomas referred for embolization, two females (52 and 74 years) had Kasabach-Merritt syndrome (KMS). Hematocrit values were observed to be 33% and 29%, platelets 4000 and 5400/mm3, and fibrinogen 98 and 77 mg/dl, respectively. Lesion diameters were 7 and 14 cm, respectively. Hepatic angiography revealed excessive vascular lakes typical of cavernous hemangiomas. Microspheres of 40-300 m were superselectively injected under fluoroscopic guidance until cessation of flow. Coil packing of the feeding hepatic artery was additionally used in one patient. The procedure was uneventful in both. Partial restoration of platelet count was observed immediately; fibrinogen levels and platelets were restored completely in one patient and partially in the other, without remissions at 2-year follow-up. © 2007 Taylor and Francis.
Συγγραφείς:
Malagari, K.
Alexopoulou, E.
Dourakis, S.
Kelekis, A.
Hatzimichail, K.
Sissopoulos, A.
Delis, S.
Letsou, D.
Kelekis, D.
Περιοδικό:
Acta Radiologica
Λέξεις-κλειδιά:
Angiography; Biological organs; Blood vessels; Medical problems; Microspheres; Platelets, Consumption coagulopathy; Kasabach-Merritt syndrome; Liver hemangiomas, Patient treatment, fibrinogen; microsphere, aged; article; artificial embolism; blood clotting disorder; case report; computer assisted tomography; female; follow up; hemangioma; hematocrit; hepatic artery; human; liver tumor; methodology; middle aged; radiography; rare disease; syndrome; thrombocyte count; treatment outcome, Aged; Blood Coagulation Disorders; Embolization, Therapeutic; Female; Fibrinogen; Follow-Up Studies; Hemangioma; Hematocrit; Hepatic Artery; Humans; Liver Neoplasms; Microspheres; Middle Aged; Platelet Count; Rare Diseases; Syndrome; Tomography, X-Ray Computed; Treatment Outcome
DOI:
10.1080/02841850701326917
