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Endovascular treatment of hemangiomas

Joon K Song1, Yasunari Niimi, Alejandro Berenstein

  • 1Hyman-Newman Institute for Neurology and Neurosurgery and the Center for Endovascular Surgery, Roosevelt Hospital, 1000 Tenth Avenue, 10th Floor, New York, NY 10019, USA. jsong@chpnet.org

Neuroimaging Clinics of North America
|July 25, 2007
PubMed

Insights

Infantile hemangiomas are common vascular tumors in infants, particularly premature babies. Early recognition and interdisciplinary management, including endovascular treatment, are crucial for minimizing potential morbidity.

Area of Science:

  • Pediatric Oncology
  • Vascular Biology
  • Dermatology

Background:

  • Hemangiomas are the most common tumors in infancy, affecting up to 12% of infants.
  • These vascular tumors arise from endothelial cell proliferation and predominantly affect females (4:1 ratio).
  • Most hemangiomas manifest within the first six weeks of life, with head and neck regions most commonly affected.

Purpose of the Study:

  • To summarize the key characteristics and management considerations for infantile hemangiomas.
  • To highlight the significance of early diagnosis and treatment for preventing morbidity.
  • To emphasize the role of endovascular treatment in a multidisciplinary approach.

Main Methods:

  • Review of epidemiological data on infantile hemangiomas.
  • Analysis of clinical presentation and common locations.
  • Discussion of treatment modalities, focusing on endovascular interventions.

Main Results:

  • Hemangiomas occur in 10-12% of infants, with higher incidence in preterm infants.
  • Head and neck are the most frequent sites, followed by trunk and extremities.
  • Despite being benign, hemangiomas can lead to significant morbidity if untreated.

Conclusions:

  • Infantile hemangiomas require prompt recognition and management.
  • An interdisciplinary approach is essential for optimal patient outcomes.
  • Endovascular treatment is a vital component in managing complex hemangioma cases.

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