The utility of onyx for preoperative embolization of cranial and spinal tumors.

作者: Pankaj Gore , Nicholas Theodore , Leonardo Brasiliense , Louis J. Kim , Mark Garrett

DOI: 10.1227/01.NEU.0000333292.74986.AC

关键词:

摘要: Objective To assess the utility, technical factors, and complications associated with use of Onyx (Micro Therapeutics, Inc., Irvine, CA) for preoperative embolization cranial spinal tumors. Methods We reviewed a prospectively accumulated database patients in whom was used tumors over 19-month period. The patients' demographic characteristics, tumor type location, embolic agents used, arteries catheterized, were assessed. Specific attention focused on factors that differed from other commonly materials. Results Ten (four female six male; age range, 11-60 yr) underwent before or resection. Tumors included three juvenile nasal angiofibromas, two meningiomas, hemangioblastomas, metastases (renal cell thyroid), one giant tumor. performed 43 vessels 11 treatment sessions. There no related to procedures. Deep penetration agent into documented through imaging surgical pathological specimens. Conclusion Preoperative can be safely. advantages deep lesions producing extensive infarction, ability embolize portions fewer arterial catheterizations, safety catheter withdrawal despite often substantial reflux along catheter.

参考文章(31)
Hirotada Saegusa, Ikuo Kobayashi, Taketomo Ohmomo, Yoshio Miyasaka, Kiyotaka Fujii, Hidehiro Oka, Akira Kurata, Nobuyuki Kawano, Preoperative superselective embolization of skull-base meningiomas: Indications and limitations Journal of Neuro-oncology. ,vol. 40, pp. 67- 71 ,(1998) , 10.1023/A:1006196420398
A. Komemushi, N. Tanigawa, Y. Okuda, H. Kojima, H. Fujii, Y. Shomura, M. Sougawa, S. Sawada, A new liquid embolic material for liver tumors Acta Radiologica. ,vol. 43, pp. 186- 191 ,(2002) , 10.1034/J.1600-0455.2002.430217.X
D. R. Warakaulle, R. I. Aviv, D. Niemann, A. J. Molyneux, J. V. Byrne, P. Teddy, Embolisation of spinal dural arteriovenous fistulae with Onyx. Neuroradiology. ,vol. 45, pp. 110- 112 ,(2003) , 10.1007/S00234-002-0936-2
C Manelfe, J Ruscalleda, P Lasjaunias, Preoperative embolization of intracranial meningiomas. American Journal of Neuroradiology. ,vol. 7, pp. 963- 972 ,(1986)
D. Kuehne, B. Kis, W. Weber, R. Siekmann, Endovascular treatment of intracranial arteriovenous malformations with onyx: technical aspects. American Journal of Neuroradiology. ,vol. 28, pp. 371- 377 ,(2007)
S Gallas, B Scherperel, R S Quadros, E Dehoux, C Delcourt, L Pierot, Preoperative embolization of a cervicodorsal paraganglioma by direct percutaneous injection of onyx and endovascular delivery of particles. American Journal of Neuroradiology. ,vol. 27, pp. 1907- 1909 ,(2006)
Keiichi Nishimaki, Tetsuo Koike, Takashi Minakawa, Yasushi Ito, Takatoshi Sorimachi, Ryuichi Tanaka, Hiroshi Abe, Shigekazu Takeuchi, Embolization of cerebral arteriovenous malformations achieved with polyvinyl alcohol particles: angiographic reappearance and complications. American Journal of Neuroradiology. ,vol. 20, pp. 1323- 1328 ,(1999)
M. Piotin, C. Mounayer, G. Benndorf, I. Kessler, J. Moret, N. Hammami, L. Spelle, Nidal embolization of brain arteriovenous malformations using onyx in 94 patients American Journal of Neuroradiology. ,vol. 28, pp. 518- 523 ,(2007)
Louis J. Kim, Felipe C. Albuquerque, Ali Aziz-Sultan, Robert F. Spetzler, Cameron G. McDougall, Low morbidity associated with use of n-butyl cyanoacrylate liquid adhesive for preoperative transarterial embolization of central nervous system tumors. Neurosurgery. ,vol. 59, pp. 98- 103 ,(2006) , 10.1227/01.NEU.0000220215.71485.07