Multimodal management of endangering hepatic hemangioma: impact on transplant avoidance: a descriptive case series.

摘要: Purpose: To examine the results of multimodal management patients with endangering hepatic hemangioma associated systemic compromise. Methods: Retrospective descriptive case series children managed at our institution between January 1996 and June 2006. Results: Six (5 females) presented effects during index time period. Mean age presentation was 1.9 months (range, 2 days to 4 months). All received medical treatment, all also underwent embolization, a median number procedures 1-6). Two died, one sepsis progressive liver failure in child presenting advanced disease owing neonatal hemochromatosis that unrecognized time. The remaining recovered were discharged. With mean postprocedure follow-up 2.11 years 0-6.2 years), remain well. Conclusion: Multimodal is strategy deserves consideration these patients. Although requires further evaluation as its safety efficacy, procedure has potential decrease need for transplantation because treatment failures this population.