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[Embolization therapy of cavernous hemangiomas].

K Rappersberger¹, P Samec, E Diem

¹I. Universitäts-Hautklinik Wien.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete

|August 1, 1989

Summary

Infantile hemangiomas, common newborn tumors, usually resolve by age seven. Embolization therapy offers a new treatment for rare, progressing cases, aiming to block blood supply and enable surgery.

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Area of Science:

Pediatric Oncology
Interventional Radiology

Background:

Infantile hemangiomas are common benign vascular tumors in newborns.
Most hemangiomas spontaneously involute by age seven.
Rare cases may progress, leading to severe complications like hemorrhage or Kasabach-Merritt syndrome.

Observation:

Embolization therapy is an emerging treatment for problematic hemangiomas.
Selective arterial embolization targets peripheral vessels in high-flow lesions.
Direct embolization of the cavernous system is used for slow-flow lesions.

Findings:

Embolization aims to induce thrombosis and permanent occlusion of the hemangioma.
Successful embolization can lead to complete resolution of the tumor.
Partial or temporary thrombosis facilitates subsequent curative surgery.

Implications:

Embolization provides a minimally invasive therapeutic option for complex hemangiomas.
This approach can prevent life-threatening complications associated with hemangiomas.
Embolization can enable surgical interventions otherwise not feasible.

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