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[Endovascular surgery in the treatment of hepatic hemangiomas]
A M Granov1, V N Polysalov, P G Tarazov
1Central Research X-Ray Radiological Institute, Ministry of Health of the Russian Federation, Saint-Petersburg.
Results of endovascular interventions in 46 (45%) patients from 102 cases are analyzed who underwent surgical treatment with regard to hemangiomatosis of the liver. Embolization of hepatic artery (HA) and its branches was performed in 35 pts., ligation of HA-in 11. Endovascular intervention was performed once in 27 (77.2%) patients, twice--in 6 (17.1%), three times--in 2 (5,7%). Metal coils of Gianturco type (8), Spongostan (7), Ivalon (7), coil in a combination with Spongostan (20), coil and Ivalon (3) were used for embolization. Comparative evaluation of the results of the embolization. and ligation of HA is presented taking into account advantages and disadvantages of the considered treatment methods. Indications, techniques and complications endovascular treatment of hemangiomas are discussed in this paper considering a lesion spread in the liver, number and size tumor nodes, variants of their arterial blood supply.
Results of endovascular interventions in 46 (45%) patients from 102 cases are analyzed who underwent surgical treatment with regard to hemangiomatosis of the liver. Embolization of hepatic artery (HA) and its branches was performed in 35 pts., ligation of HA-in 11. Endovascular intervention was performed once in 27 (77.2%) patients, twice--in 6 (17.1%), three times--in 2 (5,7%). Metal coils of Gianturco type (8), Spongostan (7), Ivalon (7), coil in a combination with Spongostan (20), coil and Ivalon (3) were used for embolization. Comparative evaluation of the results of the embolization. and ligation of HA is presented taking into account advantages and disadvantages of the considered treatment methods. Indications, techniques and complications endovascular treatment of hemangiomas are discussed in this paper considering a lesion spread in the liver, number and size tumor nodes, variants of their arterial blood supply.