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Erschienen in: Pediatric Radiology 4/2016

04.12.2015 | Original Article

Interventional embolization of congenital intrahepatic shunts in children

verfasst von: Lin Wu, Lu Zhao, Ying Lu, Lan He, Xihong Hu

Erschienen in: Pediatric Radiology | Ausgabe 4/2016

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Abstract

Background

Congenital intrahepatic shunts in children are rare and precise treatment strategies have not been established.

Objective

The purpose of this study was to present our experience with transcatheter embolization in a descriptive case series of congenital intrahepatic shunts in children.

Materials and methods

We retrospectively studied 10 children with symptomatic congenital intrahepatic shunts who were treated with embolization at our institute between January 2008 and December 2014.

Results

Seven children had arteriovenous shunts in association with hepatic hemangiomas, two had arterioportal shunts and one had portosystemic shunts. The major presentations were congestive heart failure and severe anemia in the groups with arteriovenous and arterioportal shunts, respectively. Following embolization, two children died in the arteriovenous group, one from progressive liver dysfunction and the other from abdominal compartment syndrome. One child in the arterioportal group required liver transplantation after initial embolization. With mean post-procedure follow-up of 15 months (range 4–54 months), all the remaining children were well, with resolution of the symptoms.

Conclusion

Interventional embolization provides an alternative to surgical ligation or hepatic resection in children with clinically significant intrahepatic shunts. For lesions with complex morphology, embolization may be inadequate and liver transplantation might be the only therapeutic option.
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Metadaten
Titel
Interventional embolization of congenital intrahepatic shunts in children
verfasst von
Lin Wu
Lu Zhao
Ying Lu
Lan He
Xihong Hu
Publikationsdatum
04.12.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Radiology / Ausgabe 4/2016
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-015-3497-3

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