Retrospectively study of series cases with ultrasound-guided radiofrequency ablation for Kasabach-Merritt syndrome
10.3760/cma.j.cn114453-20250331-00086
- VernacularTitle:超声引导下射频消融术治疗Kasabach-Merritt综合征的病例系列研究
- Author:
Junbo QIAO
1
;
Junjie LIN
;
Bin FANG
;
Changkuan CHEN
;
Jianpeng CAO
;
Jianhao ZHANG
;
Gaozan ZHU
;
Wenqiu WANG
;
Wenbo LIU
;
Yuanqi LI
;
Shoufu HOU
Author Information
1. 郑州大学第三附属医院血管瘤外科 河南省血管瘤与血管畸形医学重点学科 河南省血管瘤与血管畸形医学重点实验室，郑州 450052
- Publication Type:Journal Article
- Keywords:
Thrombocytopenia;
Kasabach-Merritt syndrome;
Tufted hemangioma;
Ultrasound-guidance;
Radiofrequency ablation
- From:
Chinese Journal of Plastic Surgery
2025;41(11):1136-1142
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize and analyze the clinical efficacy and experience of ultrasound-guided radiofrequency ablation (RFA) in the treatment of Kasabach-Merritt syndrome (KMS).Methods:A retrospective analysis was conducted on the data of pediatric patients with KMS who underwent ultrasound-guided RFA in Department of Hemangioma Surgery, the Third Affiliated Hospital of Zhengzhou University, between March 2018 and March 2024. Preoperative laboratory tests and imageological examination were performed. Under general anesthesia, the working tip of the RFA electrode needle was precisely reached the bottom of the lesion under ultrasound guidance. The electrode needle was then gradually withdrawn until the entire lesion area was covered by hyperechoic signals, indicating complete ablation. Postoperative symptomatic and supportive treatments, such as ice pack application and dressing changes, were administered to the surgical area. Platelet detection was performed immediately after the operation. Complications were closely monitored and regular follow-ups were carried out.Results:A total of 30 pediatric patients were included, comprising 14 males and 16 females, from 10 min to 5 months and 29 d after birth, with a median time of 6 d. Lesions were located in the limbs and trunk in 27 cases, and head and neck region in 3 cases, with lesion volumes ranged from 2.4 cm×2.3 cm×1.2 cm to 14.4 cm×9.3 cm×3.3 cm. The mean preoperative platelet count was 43×10 9/L, among them, the platelet values of 11 cases were (10-30) ×10 9/L, and those of 6 cases were lower than 10×10 9/L, other 13 cases with progressive thrombocytopenia. All patients successfully underwent RFA, achieving complete lesion ablation and normalization of platelet counts postoperatively. Platelet counts recovered to above 300×10 9/L in 15 patients, with no severe complications observed. The RFA area became slightly hardened within 7 d postoperatively but gradually returned to normal after consistent dressing changes for 2 weeks. During the follow-up period of 6 months to 2 years, complete lesion ablation was confirmed, with disappearance of the mass, no recurrence, good local function, mild local scar formation, and satisfactory cosmetic appearance. Conclusion:Ultrasound-guided RFA for KMS has advantages of favorable therapeutic outcomes, minimal tissue damage, no significant complications, and satisfactory cosmetic result.
