Preoperative embolization of cervical spine tumors

To assess the technical success rate, complications, and effect on intraoperative blood loss of preoperative transarterial embolization of cervical spine tumors. A retrospective analysis was performed on 38 patients with tumors of the cervical spine; 69 vertebrae were affected. Polyvinyl alcohol par...

Full description

Saved in:
Bibliographic Details
Published in:Cardiovascular and interventional radiology 1997-09, Vol.20 (5), p.343-347
Main Authors: VETTER, S. C, STRECKER, E.-P, ACKERMANN, L. W, HARMS, J
Format: Article
Language:English
Subjects:
Biological and medical sciences
BLOOD
Blood Loss, Surgical - prevention & control
BRAIN
CAROTID ARTERIES
Cervical Vertebrae
Diseases of the nervous system
Embolization, Therapeutic
Female
Humans
Male
Medical sciences
Middle Aged
NEOPLASMS
PATIENTS
Preoperative Care
PVA
RADIOLOGY AND NUCLEAR MEDICINE
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Retrospective Studies
Spinal Neoplasms - blood supply
Spinal Neoplasms - secondary
Spinal Neoplasms - surgery
Spinal Neoplasms - therapy
SURGERY
TITANIUM
VERTEBRAE
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To assess the technical success rate, complications, and effect on intraoperative blood loss of preoperative transarterial embolization of cervical spine tumors. A retrospective analysis was performed on 38 patients with tumors of the cervical spine; 69 vertebrae were affected. Polyvinyl alcohol particles, coils, gelfoam particles, either alone or in combination, were used for preoperative tumor embolization. After embolization a total of 57 corporectomies with titanium basket implantation were performed. In 36 of 38 patients, complete (n = 27) or partial (n = 9) embolization was achieved. In 23 patients one vertebral artery was completely occluded by coil placement, and in one patient the ipsilateral internal and external carotid arteries were occluded in addition. No neurological complications could be directly related to the embolization, but two postoperative brain stem infarctions occurred. The mean intraoperative blood loss was 2.4 L. Transarterial embolization of cervical spine tumors is a safe and effective procedure to facilitate extensive surgery.
ISSN:0174-1551
1432-086X
DOI:10.1007/s002709900165