Journal Article10.1016/J.WNEU.2011.02.033
Preoperative onyx embolization of vascular head and neck tumors by direct puncture.
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TL;DR: Embolization of hypervascular head and neck tumors with onyx via direct tumoral puncture can be performed safely and efficiently but should be exercised when using this technique for intracranial pathologies, and the importance of biplanar fluoroscopy to allow better visualization of the onyx migration cannot be overemphasized.
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About: This article is published in World Neurosurgery. The article was published on 01 May 2012. The article focuses on the topics: Embolization.
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Citations
Indications for the Performance of Intracranial Endovascular Neurointerventional Procedures: A Scientific Statement From the American Heart Association.
Clifford J. Eskey,Philip M. Meyers,Thanh N. Nguyen,Sameer A. Ansari,Mahesh V Jayaraman,Cameron G. McDougall,J. Kevin DeMarco,William A. Gray,David C. Hess,Randall T. Higashida,Dilip K. Pandey,Constantino Peña,Hermann Christian Schumacher +12 more
TL;DR: The purpose of the present document is to review current information on the efficacy and safety of procedures used for intracranial endovascular interventional treatment of cerebrovascular diseases and to summarize key aspects of best practice.
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Preoperative angiography and external carotid artery embolization of juvenile nasopharyngeal angiofibromas in a tertiary referral paediatric centre
Deddeh Ballah,Deborah Rabinowitz,Arastoo Vossough,S. Rickert,B.P. Dunham,K. Kazahaya,Anne Marie Cahill +6 more
TL;DR: Preoperative embolization of JNA tumours can be safely performed without neurological complications and angiography is helpful in delineating ICA supply and can help guide surgical planning.
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Control of bleeding in endoscopic skull base surgery: current concepts to improve hemostasis.
TL;DR: In extradural cases, the advocate a mean arterial pressure of 65–70 mm Hg to reduce bleeding while preventing ischemic complications and for dealing intradural lesion, controlled hypotension should be cautious.
Preoperative Onyx embolization of hypervascular head, neck, and spinal tumors: experience with 100 consecutive cases from a single tertiary center.
TL;DR: Embolization of intracranial, head, neck, and spinal tumors with Onyx is effective and safe by a transarterial route or by direct puncture and penetrates well into the tumor capillary with less arterial catheterization.
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Adjunct endovascular interventions in carotid body tumors.
TL;DR: Preoperative selective endovascular embolization in patients withShamblin II and Shamblin III CBTs may be beneficial when competently performed by interventional physicians proficient in neurovascular microcatheterization/embolization procedures.
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References
•Journal Article
Devascularization of craniofacial tumors by percutaneous tumor puncture
Alfredo Casasco,Denis Herbreteau,Emmanuel Houdart,Bernard George,P. Tran Ba Huy,D Deffresne,J J Merland +6 more
TL;DR: This technique was initially used to devascularize tumors with difficult or dangerous intravascular access, but it is believed that the indications for this technique can be extended to hypervascular tumors accessible to conventional embolization.
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•Journal Article
Major complications of percutaneous embolization of skull-base tumors.
Alfredo Casasco,Emmanuel Houdart,Alessandra Biondi,Harish S. Jhaveri,Denis Herbreteau,Armand Aymard,Jean-Jacques Merland +6 more
TL;DR: Although the fundamental injection technique has not changed, this work suggests additional precautions and modifications to make this procedure a safer and more valuable element in the overall management of patients with difficult skull-base tumors.
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Evolving experience with direct puncture therapeutic embolization for adjunctive and palliative management of head and neck hypervascular neoplasms.
John C. Chaloupka,Sundeep Mangla,Sundeep Mangla,Daniel C. Huddle,Daniel C. Huddle,T C Roth,Sanchayeeta Mitra,Douglas Ross,Clarence T. Sasaki +8 more
TL;DR: Recent clinical experience with percutaneous, direct puncture therapeutic embolization of hypervascular head and neck neoplasms is reviewed to determine safety, efficacy, and emerging role in the overall neurointerventional therapeutic armamentarium.
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The utility of onyx for preoperative embolization of cranial and spinal tumors.
Pankaj A. Gore,Nicholas Theodore,Leonardo B.C. Brasiliense,Louis J. Kim,Mark P. Garrett,Peter Nakaji,L. Fernando Gonzalez,Cameron G. McDougall,Felipe C. Albuquerque +8 more
TL;DR: Specific technical advantages of Onyx included deep penetration of lesions producing extensive tumor infarction, the ability to embolize extensive portions of the tumors through fewer arterial catheterizations, and the safety of catheter withdrawal despite often substantial reflux along the embolic catheter.
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Safety and efficacy of vascular tumor embolization using Onyx: is angiographic devascularization sufficient?
Mohamed Samy Elhammady,Stacey Q Wolfe,Ramsey Ashour,Hamad Farhat,Roham Moftakhar,Baruch B. Lieber,Mohammad Ali Aziz-Sultan +6 more
TL;DR: Embolization of vascular tumors with Onyx can be performed safely but may not reach optimal effectiveness in reducing intraoperative EBL if the embolic material does not penetrate the tumor vasculature.
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