Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Mar 2012
Increased complexity and complications associated with multiple peripherally inserted central catheter insertions in children: the tip of the iceberg.
To assess the effects of repeated placements of peripherally inserted central catheters (PICCs) on the venous system in children. ⋯ Increased procedural complexity and complications were found with successive PICC insertions. These results confirm the need for a prospective study to directly assess the long-term effects of PICCs on venous patency.
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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.
Kaposiform 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.