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J Vasc Interv Radiol · Mar 2012
Case ReportsKaposiform hemangioendothelioma with Kasabach-Merritt phenomenon: successful treatment with embolization and vincristine in two newborns.
- Ricardo Garcia-Monaco, Ana Giachetti, Oscar Peralta, Noelia Napoli, Pablo Lobos, Laura Gioseffi, and Gonzalo Mariani.
- Vascular Anomalies Center, Hospital Italiano, Universidad de Buenos Aires, Ciudad de Buenos Aires, Argentina. ricardo.garciamonaco@hospitalitaliano.org.ar
- J Vasc Interv Radiol. 2012 Mar 1; 23 (3): 417-22.
AbstractKaposiform hemangioendothelioma (KHE) is a rare vascular tumor and has a high mortality in newborns when associated with Kasabach-Merritt syndrome (KMS). In two newborns with KHE and severe KMS refractory to medical treatment, emergency embolization led to clinical improvement in the acute neonatal setting by reducing tumor volume, increasing the platelet count, and improving other clotting parameters. Systemic vincristine treatment was added for further tumor control. Both patients remained symptom-free at long-term follow-up.Copyright © 2012 SIR. Published by Elsevier Inc. All rights reserved.
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