侵袭性椎体血管瘤的术前Onyx栓塞术。
Preoperative Onyx embolization of aggressive vertebral hemangiomas.
作者信息
Hurley M C, Gross B A, Surdell D, Shaibani A, Muro K, Mitchell C M, Doppenberg E M, Bendok B R
机构信息
Department of Radiology, Feinberg School of Medicine and McGaw Medical Center, Northwestern University, Chicago, IL 60611, USA.
出版信息
AJNR Am J Neuroradiol. 2008 Jun;29(6):1095-7. doi: 10.3174/ajnr.A1010. Epub 2008 Mar 27.
Abstract
We report the first use of Onyx in the embolization of spinal tumors in 2 cases of aggressive vertebral hemangioma. In both cases, Onyx embolization provided effective preoperative tumor devascularization after the initial prolonged particulate embolization with Embospheres made little overall impact. Onyx enables a more rapid and visible embolization than particles and is less technically demanding than traditional liquid embolic agents, such as n-butyl cyanoacrylate.
摘要
我们报告了在2例侵袭性椎体血管瘤的脊柱肿瘤栓塞中首次使用Onyx。在这两例病例中，在用Embospheres进行初始长时间颗粒栓塞后总体效果不佳的情况下，Onyx栓塞提供了有效的术前肿瘤去血管化。与颗粒相比，Onyx能实现更快速且可见的栓塞，并且在技术上比传统液体栓塞剂（如正丁基氰基丙烯酸酯）要求更低。
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本文引用的文献
1
Endovascular treatment of intracranial arteriovenous malformations with onyx: technical aspects.
AJNR Am J Neuroradiol. 2007 Feb;28(2):371-7.
2
Low morbidity associated with use of n-butyl cyanoacrylate liquid adhesive for preoperative transarterial embolization of central nervous system tumors.
Neurosurgery. 2006 Jul;59(1):98-104; discussion 98-104. doi: 10.1227/01.NEU.0000220215.71485.07.
3
Current treatment strategies and outcomes in the management of symptomatic vertebral hemangiomas.
Neurosurgery. 2006 Feb;58(2):287-95; discussion 287-95. doi: 10.1227/01.NEU.0000194846.55984.C8.
4
Head and neck hypervascular lesions: embolization with ethylene vinyl alcohol copolymer--laboratory evaluation in Swine and clinical evaluation in humans.
Radiology. 2001 Nov;221(2):309-17. doi: 10.1148/radiol.2212001140.
5
Spinal metastases from renal cell carcinoma: effect of preoperative particle embolization on intraoperative blood loss.
AJNR Am J Neuroradiol. 2001 May;22(5):997-1003.
6
Hypervascular spinal tumors: influence of the embolization technique on perioperative hemorrhage.
AJNR Am J Neuroradiol. 1999 May;20(5):757-63.
7
The natural history and management of symptomatic and asymptomatic vertebral hemangiomas.
J Neurosurg. 1993 Jan;78(1):36-45. doi: 10.3171/jns.1993.78.1.0036.
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