Transcatheter Arterial Embolization in A Newborn with Cervical Kaposiform Hemangioendothelioma and Kasabach-Merritt Phenomenon.

Mapping Intimacies ◽

10.22541/au.164169548.80522639/v1 ◽

2022 ◽

Author(s):

Ying Hsuan Peng ◽

Ming Chih Lin ◽

Yeak Wun Quek ◽

Wei Li Liu ◽

Ting Yu Lin ◽

...

Keyword(s):

Surgical Resection ◽

Transcatheter Arterial Embolization ◽

Case Reports ◽

Arterial Embolization ◽

Kaposiform Hemangioendothelioma

We report a case of a 9-day-old newborn who underwent arterial embolization for Kaposiform hemangioendothelioma (KHE) with Kasabach-Merritt phenomenon (KMP), combined with sirolimus treatment, and the outcome was favorable. To the best of our knowledge, there are no case reports of such small infants undergoing arterial embolization to treat KHE. Our successful experience of treating KHE with KMP showed that transcatheter arterial embolization is feasible and can be used as an alternative to surgical resection, even in small infants.

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A giant pelvic solitary fibrous tumor with Doege–Potter syndrome successfully treated with transcatheter arterial embolization followed by surgical resection: a case report

Surgical Case Reports ◽

10.1186/s40792-020-01076-5 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Kizuki Yuza ◽

Jun Sakata ◽

Hiroki Nagaro ◽

Takuya Ando ◽

Yuki Hirose ◽

...

Keyword(s):

Surgical Resection ◽

Solitary Fibrous Tumor ◽

Transcatheter Arterial Embolization ◽

Islet Cell Tumor ◽

Arterial Embolization ◽

Massive Hemorrhage ◽

Pelvic Cavity ◽

Disorder Of Consciousness ◽

Increased Risk ◽

Fibrous Tumor

Abstract Background Solitary fibrous tumor (SFT), a mesenchymal fibroblastic tumor with a hypervascular nature, rarely develops in the pelvis. Resection of a giant SFT occupying the pelvic cavity poses an increased risk of developing massive hemorrhage during resection, although surgical resection is the most effective treatment method for this tumor to achieve a potential cure. SFT rarely develops with Doege–Potter syndrome, which is known as a paraneoplastic syndrome characterized by non-islet cell tumor hypoglycemia (NICTH) secondary to SFT that secretes insulin-like growth factor-II (IGF-II). We present a case of a giant pelvic SFT with Doege–Potter syndrome, which was successfully treated with transcatheter arterial embolization (TAE) followed by surgical resection. Case presentation A 46-year-old woman presented with a disorder of consciousness due to refractory hypoglycemia. Images of the pelvis showed a giant and heterogeneously hypervascular mass displacing and compressing the rectum. Endocrinological evaluation revealed low serum levels of insulin and C-peptide consistent with NICTH. Angiography identified both the inferior mesenteric artery and the bilateral internal iliac artery as the main feeders of the tumor. To avoid intraoperative massive bleeding, super-selective TAE was performed for the tumor 2 days prior to surgery. Hypoglycemia disappeared after TAE. The tumor was resected completely, with no massive hemorrhage during resection. Histologically, it was diagnosed as IGF-II-secreting SFT. Partial necrosis of the rectum in the specimen was observed due to TAE. The patient was followed up for 2 years and no evidence of disease has been reported. Conclusions Preoperative angiography followed by TAE is an exceedingly helpful method to reduce intraoperative hemorrhage when planning to resect SFT occupying the pelvic cavity. Complications related to ischemia should be kept in mind after TAE, which needs to be planned within 1 or 2 days before surgery. TAE for tumors may be an option in addition to medical and surgical treatment for persistent hypoglycemia in Doege–Potter syndrome.

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Transcatheter arterial embolization as an effective treatment for spontaneous inferior epigastric artery bleeding caused by anticoagulant therapy: Case reports

World Academy of Sciences Journal ◽

10.3892/wasj.2020.69 ◽

2020 ◽

Vol 2 (6) ◽

pp. 1-1

Author(s):

Yen-Cheng Chen ◽

Chien-Lin Huang ◽

Ming-Chen Shih ◽

Jaw-Yuan Wang

Keyword(s):

Effective Treatment ◽

Anticoagulant Therapy ◽

Transcatheter Arterial Embolization ◽

Case Reports ◽

Arterial Embolization ◽

Inferior Epigastric Artery ◽

Epigastric Artery

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Transcatheter Arterial Embolization Therapy for Huge Renal Cysts: Two Case Reports

Case Reports in Nephrology and Dialysis ◽

10.1159/000489088 ◽

2018 ◽

Vol 8 (1) ◽

pp. 82-89 ◽

Cited By ~ 1

Author(s):

Naoya Toriu ◽

Junichi Hoshino ◽

Saeko Kobori ◽

Sun Watanabe ◽

Masahiko Oguro ◽

...

Keyword(s):

Transcatheter Arterial Embolization ◽

Case Reports ◽

Arterial Embolization ◽

Renal Cysts ◽

Cyst Fluid ◽

Embolization Therapy ◽

Cyst Volume ◽

Multiple Cysts

We encountered 2 patients with symptomatic huge simple renal cysts. In case 1, 4,000 mL of cyst fluid was drained via a catheter, but intracystic bleeding occurred immediately afterwards. Transcatheter arterial embolization (TAE) was performed, after which the bleeding stopped, and cyst drainage was repeated successfully. After 2 years, the total cyst volume was reduced from 11,775 mL to 75.4 mL. In case 2, TAE was performed prophylactically before drainage. Subsequently, 9,400 mL of fluid was removed from multiple cysts. After 1 year, the total cyst volume was reduced from 9,215 mL to 633 mL without bleeding. Based on these 2 cases, prophylactic TAE before drainage may be useful in patients with huge renal cysts.

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