Iqbal Junaid, Fazal Kamran, Rashid Sadia, Khan Shahmeer, Shahid Jehanzeb, Khalid Danial
Radiology, Aga Khan University Hospital, Karachi, PAK.
Radiology, Patel Hospital, Karachi, PAK.
Cureus. 2021 Sep 29;13(9):e18378. doi: 10.7759/cureus.18378. eCollection 2021 Sep.
Introduction Juvenile nasal angiofibroma (JNA) is a highly vascular tumor of the nasopharynx. Endovascular embolization followed by surgery is the treatment of choice. This study aimed to determine that single catheter technique with Gelfoam is an effective and safe technique for embolization to reduce the financial burden on patients in a developing country. Materials and methods We retrospectively reviewed the imaging, surgical, and histopathological records of 108 patients who underwent preoperative endovascular tumor embolization followed by surgical resection between March 2017 and March 2021. Results After embolization no major complication was observed in any patient. Complete devascularization of tumor was done in 87.8%. Intraoperative blood loss resulting in transfusion was almost the same as with other embolization techniques. Conclusion Single catheter with Gelfoam is a cost-effective and safe technique for JNA embolization.
引言 青少年鼻血管纤维瘤（JNA）是鼻咽部一种血管极为丰富的肿瘤。血管内栓塞术联合手术是首选的治疗方法。本研究旨在确定使用明胶海绵的单导管技术是一种有效且安全的栓塞技术，可减轻发展中国家患者的经济负担。材料与方法 我们回顾性分析了2017年3月至2021年3月期间108例行术前血管内肿瘤栓塞术并随后接受手术切除患者的影像学、手术及组织病理学记录。结果 栓塞术后未观察到任何患者出现严重并发症。87.8%的肿瘤实现了完全去血管化。术中因失血导致输血的情况与其他栓塞技术几乎相同。结论 对于JNA栓塞术，使用明胶海绵的单导管技术具有成本效益且安全。
