Interventional treatment of XXXX .

@entity1 @entity712 @entity99 @entity96 @entity5 @entity8146
BACKGROUND/PURPOSE: @entity8146 is the most frequent @entity96 in infancy. Untreated symptomatic @entity1 with @entity712 have a high mortality rate. Symptomatic forms may request nonoperative treatment, because surgery is burdened with high risks in @entity1 with @entity712 . The authors report their experience with interventional coil occlusion of @entity99 ( @entity99 ). METHODS: Four @entity1 (age range, 2 to 146 days; mean, 53 days) suffering from @entity99 associated with @entity712 were treated by endovascular coil occlusion of arterial feeders. Catheter intervention was performed via an arterial (n = 2) or venous (n = 2) approach. RESULTS: Signs of @entity712 resolved within 2 to 8 days after occlusion in 3 @entity1 . Tumor regression could be observed sonographically within 4 weeks postinterventionally. In 3 @entity1 , @entity5 size was reduced from a mean of 544 mL (65 to 1,350) to a mean of 4 mL (2 to 6); Mean systolic peak velocity in the hepatic artery was decreased from 170 cm/s (140 to 200) before occlusion to 45 cm/s (36 to 70) during follow-up. In the fourth @entity1 , endovascular intervention could not control a rapidly progressing hemangioendotheliomatosis, and finally a liver transplantation had to be performed. CONCLUSIONS: Interventional occlusion of feeding arteries in symptomatic @entity99 is a safe and effective alternative to early open surgery. The efficacy of endovascular intervention in multifocal @entity5 seems questionable.
