PEDIATRICS Vol. 80 No. 3 September 1987, pp. 386-394
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Burrows, P. E.
Right arrow Articles by Flodmark, O.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Burrows, P. E.
Right arrow Articles by Flodmark, O.

Urgent and Emergent Embolization of Lesions of the Head and Neck in Children: Indications and Results

Patricia E. Burrows MD, FRCP(C)1, Pierre L. Lasjaunias MD, PhD1, Karel G. Ter Brugge MD, FRCP(C)1, and Olaf Flodmark MD, PhD1

1 From the Hopital du Kremlin Bicetre and Universite de Paris, Paris, France; The Hospital For Sick Children and University of Toronto, Toronto; Toronto Western Hospital and University of Toronto, Toronto; and British Columbia's Children's Hospital and University of British Columbia, Vancouver, British Columbia, Canada

Indications for and results and complications of embolization of lesions of the head and neck were analyzed retrospectively. The procedures were performed since 1980 on an emergent or urgent basis in 30 infants and children by an experienced interventional neuroradiologist in Bicetre, France. Indications for embolization included hemorrhage, occular occlusion, respiratory obstruction, CNS complications or potential complications, interference with nutrition, and functional impairment related to the effect of the lesion on the developing facial skeleton and teeth. The specific lesions included seven hemangiomas (palpebral, subglottic, and nasal) and 20 vascular malformations (maxillofacial), auricular, dural, cerebral [including three vein of Galen malformations] and spinomedullary). Embolization was efficacious in 28 of 30 patients. Hemangiomas (potentially involutive tumors) responded dramatically with arrest of the proliferative phase and shrinking of the mass. Combined hemovascular lymphatic malformations (hemolymphangiomas) of the tongue demonstrated a variable decrease in size. High-flow evolutive arteriovenous malformations involving the teeth and dura were controlled but required multiple embolizations. One infant with a vein of Galen arteriovenous malformation died. Three local complications occurred in two patients. No cerebral ischemic or femoral artery complications occurred.

Key Words: embolization • vascular malformation • hemangioma • hemolymphangioma • neuroangiography

Submitted on July 30, 1986
Accepted on November 25, 1986




This article has been cited by other articles:


Home page
 CLIN PEDIATRHome page
D. M. Friedman, M. Madrid, A. Berenstein, In Sup Choi, and J. H. Wisoff
Neonatal Vein of Galen Malformations: Experience in Developing a Multidisciplinary Approach Using an Embolization Treatment Protocol
Clinical Pediatrics, November 1, 1991; 30(11): 621 - 629.
[Abstract] [PDF]