COMBINED (TEAM) APPROACH TO HEMANGIOMA MANAGEMENT - ARTERIOGRAPHY WITH SUPERSELECTIVE EMBOLIZATION PLUS YAG LASER SAPPHIRE-TIP RESECTION

被引:20
作者
APFELBERG, DB
LANE, B
MARX, MP
机构
[1] PALO ALTO MED RES FDN,DEPT PLAST SURG,PALO ALTO,CA 94301
[2] PALO ALTO MED RES FDN,CTR COMPREHENS LASER,PALO ALTO,CA 94301
[3] STANFORD UNIV,MED CTR,DEPT NEURORADIOL DIAGNOST RADIOL,STANFORD,CA 94305
关键词
D O I
10.1097/00006534-199107000-00013
中图分类号
R61 [外科手术学];
学科分类号
摘要
Thirteen patients have been treated over a 2-year period utilizing a team approach between the radiology and surgical services. Initial diagnostic evaluation is directed at determining the size and anatomic extent of the hemangioma; clinical assessment of coagulation and hemodynamic status is also performed. Arteriography with superselective embolization precedes the surgical procedure, usually by 24 hours. The YAG laser with contact sapphire-tip scalpels is then utilized for resection and reconstruction of the hemangioma. Total removal of hemangioma was achieved in 9 of 13 patients, and partial or subtotal removal was achieved in the remainder. Blood loss and complications were minimal.
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页码:71 / 82
页数:12
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