Angiographic and Clinical Features of Noninvoluting Congenital Hemangiomas
Autor: | Alejandro Berenstein, A. Patel, R De Leacy |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male Surgical resection medicine.medical_specialty Skin Neoplasms Percutaneous medicine.medical_treatment 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Sclerotherapy Humans Medicine Radiology Nuclear Medicine and imaging Arteriovenous shunting cardiovascular diseases Embolization Congenital Hemangioma Child Rapidly involuting congenital hemangioma Interventional business.industry medicine.disease Embolization Therapeutic eye diseases body regions Child Preschool Female sense organs Neurology (clinical) Radiology Hemangioma business 030217 neurology & neurosurgery |
Zdroj: | AJNR Am J Neuroradiol |
ISSN: | 1936-959X 0195-6108 |
DOI: | 10.3174/ajnr.a6044 |
Popis: | While infantile hemangiomas are very common, congenital hemangiomas are rare and less understood. Congenital hemangiomas are present at birth. They fall into 2 major categories: rapidly involuting congenital hemangioma and noninvoluting congenital hemangioma. Noninvoluting congenital hemangioma is the rarer of the 2 entities. If not recognized and treated appropriately, noninvoluting congenital hemangioma can lead to considerable morbidity. There is a paucity of literature regarding noninvoluting congenital hemangiomas. In this article, we will outline our experience with this condition, focusing on clinical and angiographic features. There is a distinct angiographic appearance of noninvoluting congenital hemangiomas involving an arterial-capillary web, a dense tumor blush with identifiable feeding arteries, no arteriovenous shunting, and variably present draining veins. Our experience with endovascular embolization and direct percutaneous treatment is the largest for this entity to date. Endovascular embolization and/or direct percutaneous sclerotherapy of this lesion may obviate subsequent surgical resection. |
Databáze: | OpenAIRE |
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