{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T15:56:44Z","timestamp":1776441404035,"version":"3.51.2"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T00:00:00Z","timestamp":1715558400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T00:00:00Z","timestamp":1715558400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Egypt Natl Canc Inst"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Giant sacrococcygeal teratomas (SCTs) are at risk of perinatal morbidity and mortality due to their high vascularity. Pre-operative embolization of the feeding arteries, prior to complete surgical resection, may assist in minimizing the intraoperative blood loss by occluding these feeding arteries.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present a case of a highly vascular giant SCT in a neonate, which was successfully embolized through an endovascular approach prior to surgery. The femoral artery approach was chosen, with access established using a Micropuncture introducer as a sheath. Embolization was performed using a combination of microcoils, Gelfoam slurry, and polyvinyl alcohol particles. The patient developed femoral artery spasm post-procedure, which resolved with the application of a glyceryl trinitrate patch.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Performing pre-operative endovascular embolization on a giant sacrococcygeal teratoma presents particular challenges, primarily due to the difficulty in assessing small vessels and the potential complications associated with this procedure. Nevertheless, this technique proves exceptionally valuable in helping the surgeon minimize blood loss during surgery, thereby reducing the risks of morbidity and mortality. Comprehensive planning for the embolization procedure is essential, encompassing the identification of potential vascular access points and alternatives, along with careful selection of the appropriate catheter.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43046-024-00216-4","type":"journal-article","created":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T00:01:53Z","timestamp":1715558513000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Role of pre-operative endovascular embolization of a giant sacrococcygeal teratoma in neonate: a case report"],"prefix":"10.1186","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0497-8597","authenticated-orcid":false,"given":"Isa Azzaki","family":"Zainal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nik Farhan Nik","family":"Fuad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leong Yuh","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nik Azuan Nik","family":"Ismail","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nur Yazmin","family":"Yaacob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rozman","family":"Zakaria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,13]]},"reference":[{"key":"216_CR1","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1097\/01.XPS.0000450329.23885.6c","volume":"10","author":"SH Hussam","year":"2014","unstructured":"Hussam SH, Akram ME. Sacrococcygeal teratoma: management and outcomes. Ann Pediatr Surg. 2014;10:72\u20137.","journal-title":"Ann Pediatr Surg"},{"issue":"3","key":"216_CR2","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1016\/S0022-3468(74)80297-6","volume":"9","author":"RP Altman","year":"1974","unstructured":"Altman RP, Randolph JG, Lilly JR. Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973. J Pediatr Surg. 1974;9(3):389\u201398.","journal-title":"J Pediatr Surg"},{"key":"216_CR3","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1159\/000132408","volume":"24","author":"CJ Holcroft","year":"2008","unstructured":"Holcroft CJ, Blakemore KJ, Gurewitsch ED, et al. Large fetal sacrococcygeal teratomas: could early delivery improve outcome? Fetal Diagn Ther. 2008;24:55\u201360.","journal-title":"Fetal Diagn Ther"},{"issue":"2","key":"216_CR4","first-page":"95","volume":"33","author":"J Guitart","year":"2020","unstructured":"Guitart J, Teixidor M, Brun N, et al. Preoperative giant sacrococcygeal teratoma embolization in a newborn - a case report and a review. Cir Pediatr. 2020;33(2):95\u20138.","journal-title":"Cir Pediatr"},{"issue":"6","key":"216_CR5","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1007\/s00383-006-1650-7","volume":"22","author":"RA Cowles","year":"2006","unstructured":"Cowles RA, Stolar CJ, Kandel JJ, et al. Preoperative angiography with embolization and radiofrequency ablation as novel adjuncts to safe surgical resection of a large, vascular sacrococcygeal teratoma. Pediatr Surg Int. 2006;22(6):554\u20136.","journal-title":"Pediatr Surg Int"},{"issue":"1","key":"216_CR6","doi-asserted-by":"publisher","first-page":"e5","DOI":"10.1016\/j.jpedsurg.2010.09.038","volume":"46","author":"TT Lahdes-Vasama","year":"2011","unstructured":"Lahdes-Vasama TT, Korhonen PH, Sepp\u00e4nen JM, et al. Preoperative embolization of giant sacrococcygeal teratoma in a premature newborn. J Pediatr Surg. 2011;46(1):e5\u20138.","journal-title":"J Pediatr Surg"},{"issue":"2","key":"216_CR7","doi-asserted-by":"publisher","first-page":"145","DOI":"10.4103\/0971-3026.116571","volume":"23","author":"UG Rossi","year":"2013","unstructured":"Rossi UG, Cariati M, Tom\u00e0 P. Giant sacrococcygeal teratoma embolization. Indian J Radiol Imaging. 2013;23(2):145\u20137.","journal-title":"Indian J Radiol Imaging"},{"issue":"3","key":"216_CR8","doi-asserted-by":"publisher","first-page":"345","DOI":"10.3233\/NPM-180066","volume":"12","author":"D Stavropoulou","year":"2019","unstructured":"Stavropoulou D, et al. Preoperative selective embolization with vascular coiling of giant sacrococcygeal teratoma. J Neonatal Perinatal Med. 2019;12(3):345\u20139.","journal-title":"J Neonatal Perinatal Med"}],"container-title":["Journal of the Egyptian National Cancer Institute"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43046-024-00216-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s43046-024-00216-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43046-024-00216-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T00:04:15Z","timestamp":1715558655000},"score":1,"resource":{"primary":{"URL":"https:\/\/jenci.springeropen.com\/articles\/10.1186\/s43046-024-00216-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,13]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["216"],"URL":"https:\/\/doi.org\/10.1186\/s43046-024-00216-4","relation":{},"ISSN":["2589-0409"],"issn-type":[{"value":"2589-0409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,13]]},"assertion":[{"value":"12 June 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The ethics approval and consent to participate were waived.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The consent for publication was taken from the parents.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"15"}}