Pre-operative Embolization of Meningioma Leads to Reduced Operating Time and Less Intraoperative Bleeding

Objective: To determine the efficacy of pre-operative meningioma embolization in terms of operating time and intraoperative bleeding. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Neurosurgery, Combined Military Hospital, Rawalpindi Pakistan, from Jan to De...

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Bibliographic Details
Published in:Pakistan Armed Forces medical journal 2023-06, Vol.73 (3), p.905-8
Main Authors: Khan, Awais Ali, Khan, Habib Ullah, Bangash, Khurshid Ali, Qasmi, Shahzad Ahmed, Ahmed, Syed Adeel, Hashmat, Asif, Shamim, Babar
Format: Article
Language:English
Subjects:
Brain cancer
Care and treatment
Carotid arteries
Embolization
Intraoperative bleed
Ischemia
Meningioma
Morbidity
Mortality
Operating time
Patients
Polyvinyl alcohol
Pre-operative embolization
Tumors
Variance analysis
Veins & arteries
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Summary:Objective: To determine the efficacy of pre-operative meningioma embolization in terms of operating time and intraoperative bleeding. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Neurosurgery, Combined Military Hospital, Rawalpindi Pakistan, from Jan to Dec 2020. Methodology: Twelve diagnosed cases of intracerebral meningioma were included in the study. The patients were diagnosed cases of meningioma as per pre-operative signs and symptoms, radiological confirmation was done with magnetic resonance imaging, and all were subjected to pre-operative embolization of the tumour with catheter advancement in the arterial system and embolizing the target vessels with polyvinyl alcohol particles, followed by craniotomy and excision of the tumour. Results: The mean age of the patients was 47±672. 24 years. The mean operating time (from the incision to closure) was 96.17±10.23 minutes. In contrast, the intraoperative blood loss was 325.33±15.43 ml. Six (50.00%) individuals had parasagittal meningioma, 4(33.33%) were of cerebral convexity, while 2(16.66%) had lesions at sphenoid wing. Conclusion: Meningioma is a quite vascular tumour, and the operative outcome can be improved by pre-operative angioembolization. The reduced vascularity makes the resection easier by decreasing the per-op bleed and operating time.Keywords: Intraoperative bleed, Meningioma, Operating time, Pre-operative embolization.
ISSN:0030-9648
2411-8842
DOI:10.51253/pafmj.v73i3.8978