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Endovascular treatment of scalp cirsoid aneurysms
Background: Scalp is the most common site of soft tissue arteriovenous fistulae and surgical excision has been the primary mode of treatment. Endovascular treatment has evolved as an alternative to the surgery. Aims: To evaluate the effectiveness of percutaneous direct-puncture embolization of cirso...
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Published in: | Neurology India 2008-04, Vol.56 (2), p.167-172 |
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Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that cite this one |
Online Access: | Get full text |
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Summary: | Background: Scalp is the most common site of soft tissue arteriovenous
fistulae and surgical excision has been the primary mode of treatment.
Endovascular treatment has evolved as an alternative to the surgery.
Aims: To evaluate the effectiveness of percutaneous direct-puncture
embolization of cirsoid aneurysms. Materials and Methods: From January
1995 to December 2004, 15 patients underwent percutaneous
direct-puncture embolization of cirsoid aneurysms. Plain X-ray,
computerized tomography scan and complete selective cerebral angiogram
were done in all. Seven patients had forehead lesions, four had
temporal and the remaining four patients had occipital region cirsoid
aneurysms. Lesions were punctured with 21-gauge needle and embolized
with 20-50% cyanoacrylate-lipiodol mixture. Circumferential compression
was applied during injection. Results: Post-embolization angiogram
showed complete obliteration in 11 patients. The remaining four
patients required adjunctive transarterial embolization with polyvinyl
alcohol particles for complete lesion devascularization. Two patients
had post procedure surgery for removal of disfiguring and hard glue
cast. There were no major procedure-related complications. No patients
had any recurrence in the follow-up. Conclusion: Percutaneous direct
puncture embolization of cirsoid aneurysms is a safe and effective
procedure. It can be effectively used as an alternative to surgery.
Sometimes adjunctive transarterial embolization is also required to
deal with deeper feeders. |
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ISSN: | 0028-3886 1998-4022 |
DOI: | 10.4103/0028-3886.41995 |