ENDOVASCULAR EMBOLIZATION OF PSEUDOTUMORS IN HEMOPHILIA PATIENTS
https://doi.org/10.25837/HAT.2018.29..1..009
Abstract
The pseudotumors are the serious complication in patients with hemophilia A and B. Surgical excision of hemophilic pseudotumor is frequently accompanied by a massive intraoperative blood loss. The endovascular embolization of the feeding arteries prior to surgery helps to minimize the blood loss and to reduce the size of pseudotumor. We performed endovascular embolization with microcoils in six hemophilia patients with pseudotumors, and describe here three of those cases.
About the Authors
D. G. GitelsonRussian Federation
Gitelson Daniil G., MD, interventional radiologist, National Research Center for Hematology, Moscow, 125167
Researcher ID: M-6423-2014
A. G. Faibushevich
Russian Federation
A. E. Vasiliev
Russian Federation
ResearcherID: I-5192-2017
E. A. Gitelson
Russian Federation
ResearcherID: D-4758-2017
M. V. Spirin
Russian Federation
O. A. Polevodova
Russian Federation
G. V. Mishin
Russian Federation
ResearcherID: D-8100-2017
E. E. Karpov
Russian Federation
G. M. Galstyan
Russian Federation
References
1. Андреев Ю. Н. Многоликая гемофилия. — М.: Ньюдиамед, 2006.
2. Van der Bom JG, Ter Avest P, Van den Berg HM et al. Assessment of incidence of inhibitors in patients with haemophilia. Haemophilia 2009; 15:707—711.
3. Ogata Y, Monji M, Kai K et al. Nasal hemophilic pseudotumor in a patient with mild hemophilia A and allergic rhinitis. Pediatr Int 2017; 59:237—239.
4. Kerr R. Imaging of musculoskeletal complications of hemophilia. Semin Musculoskelet Radiol 2003; 7:127—136.
5. Stafford JM, James TT, Allen AM et al. Hemophilic pseudotumor: radiologic–pathologic correlation. Radiographics 2003; 23:852—856.
6. Throndson RR, Baker D, Kennedy P et al. Pseudotumor of hemophilia in the mandible of a patient with hemophilia A. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 113:229—233.
7. Espandar R, Heidari P, Rodriguez-Merchan EС. Management of haemophilic pseudotumors with special emphasis on radiotherapy and arterial embolization. Haemophilia 2009; 15:448—457.
8. Uriza LF, Berdugo A, Partija RT et al. Pseudotumor hemofílico. Reporte de caso. Univ Med 2006; 48:71—74 (in Spanish).
9. Garcia-Perez R, Torres-Salmeron G, Sanchez-Bueno F et al. Intraabdominal hemophilic pseudotumor: case report. Rev Esp Enferm Dig 2008; 102:275—280.
10. Prasad RK, Siva B, Rajpal J et al. Self-healing hemophilic pseudotumor of the mandible in a 5-year-old boy, an interesting and rare finding: Case report and review. J Indian Soc Pedod Prev Dent 2016; 34:82—86.
11. Anderson CL, Alvarez O, Saigal G et al. Hemophilic Pseudotumor: An Important Differential Diagnosis of an Intracranial Mass. J Pediatr Hematol Oncol 2015; 37:219—222.
12. Буланов А. Ю., Шулутко Е. М., Карпов Е. Е. и др. Терапия острой массивной кровопотери у больного гемофилией: клинический случай. Тер архив 2011; 83:70—73.
13. Rodriguez-Merchan EC, Jimenez-Yuste V. The role of selective angiographic embolization of the musculo-skeletal system in haemophilia. Haemophilia 2009; 15:864—868.
14. Lv M, Fan X, Su L et al. Ethanol embolization of hemophilic pseudotumor of the mandible. Cardiovasc Intervent Radiol 2011; 34:880—882.
15. Ahuja SP, Sidonio R Jr, Raj AB et al. Successful combination therapy of a proximal haemophilic pseudotumour with surgery, radiation and embolization in a child with mild haemophilia A. Haemophilia 2007; 13:209—212.
Review
For citations:
Gitelson D.G., Faibushevich A.G., Vasiliev A.E., Gitelson E.A., Spirin M.V., Polevodova O.A., Mishin G.V., Karpov E.E., Galstyan G.M. ENDOVASCULAR EMBOLIZATION OF PSEUDOTUMORS IN HEMOPHILIA PATIENTS. Russian journal of hematology and transfusiology. 2018;63(1):92-96. (In Russ.) https://doi.org/10.25837/HAT.2018.29..1..009