Vascular anomalies associated with hepatic shunting

Table 6 Treatment considerations for hepatic hemangiomas

Treatment considerations for hepatic hemangiomas
Monitoring for self-involution
Propranolol (2-3 mg/kg/d) superior to corticosteroids or IV vincristine
Surgical ligation or resection of internal or complex hemangiomas
Enucleation for peripherally located hemangiomas
Artery embolization or radiofrequency ablation for emergency bleeding or in preparation for surgical intervention
Liver transplant for exceptionally large lesions or diffuse lesions, with severe complications such as heart failure and Kasabach-Merritt syndrome not amenable to medical management

IV: Intravenous.