Combined (team) approach to hemangioma management: arteriography with superselective embolization plus YAG laser/sapphire-tip resection.
Thirteen patients have been treated over a 2-year period utilizing a team approach between the radiology and surgical services. Initial diagnostic evaluation is directed at determining the size and anatomic extent of the hemangioma; clinical assessment of coagulation and hemodynamic status is also performed. Arteriography with superselective embolization precedes the surgical procedure, usually by 24 hours. The YAG laser with contact sapphire-tip scalpels is then utilized for resection and reconstruction of the hemangioma. Total removal of hemangioma was achieved in 9 of 13 patients, and partial or subtotal removal was achieved in the remainder. Blood loss and complications were minimal.
Apfelberg
D B
DB
Department of Plastic Surgery, Palo Alto Medical Foundation.
Lane
B
B
Marx
M P
MP
D000293:Adolescent; D000328:Adult; D000792:Angiography / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007223:Infant; D053685:Laser Therapy / Q000379:methods*; D008028:Light Coagulation; D008297:Male; D015641:Radiography, Interventional