Рентгенология & Радиология, 2019, LVIII 308-311

Endovascular embolization of recurrent scalp haemangioma using PHIL and Onyx

Sv. Matanov


Haemangiomas are benign vascular tumors and are the most common type of tumors in infancy. They are divided into infantile and congenital. Most of the haemangiomas cause only aesthetic problems like flat or plaquelike rash but in some rare cases they can ulcerate, bleed and lead to destruction of the underlying tissues. What is more, their capability to involute spontaneously leads to the most common method for their treatment – observation. Only If patients begin to experience symptoms, their treatment should be considered. Methods for treatment include conservative therapy with systematic drugs, laser therapy, surgery and endovascular embolization. In the literature there are insufficient amount of data about endovascular embolization of haemangiomas, especially with both of the most widely used embolizing agents – Onyx and PHIL (precipitating hydrophobic injectable liquid). This method have been proved to be safe and efficient in treating other vascular anomalies such as arteriovenous malformations (AVM) and arterovenous fistulas (AVF) [1–5]. In our case report we would like to present our experience in embolizing benign vascular tumors with combination of the embolizing agents Onyx and PHIL in patient with recurrent scalp haemangioma.