Preoperative transarterial embolization using gelatin sponge for hypervascular bone and soft tissue tumors in the pelvis or extremities

Shimohira, Masashi; Nagai, Kazuyuki; Hashizume, Takumi; Nakagawa, Motoo; Ozawa, Yuichi; Sakurai, Keita; Matsushita, Yasuyuki; Yamada, Satoshi; Otsuka, Takanobu; Shibamoto, Yuta

doi:10.1177/0284185115590435

Cited by 12 publications

(7 citation statements)

References 19 publications

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“…Preoperative intra-arterial embolization has been credited with reducing intraoperative blood loss and is performed in patients with hypervascular tumors prior to surgery in many hospitals [4–10]. …”

Section: Introductionmentioning

confidence: 99%

Cone-beam computed tomography with automated bone subtraction in preoperative embolization for pelvic bone tumors

et al. 2017

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PurposeTo evaluate the usefulness of cone-beam computed tomography with automated bone subtraction (CBCT-ABS) in the preoperative embolization of hypervascular tumors located in the pelvic bone.Materials and methodsThis retrospective study included 26 patients with pelvic bone tumors who underwent preoperative embolization between January 2014 and October 2016. A CBCT-ABS scan was taken in a total of 17 patients (CBCT-ABS group), and only a series of digital subtraction angiographies (DSAs) was taken in the remaining 9 patients (DSA group). The percent devascularization, number of angiographic runs, total dose-area product (DAP), fluoroscopy time, interventional procedure time, operative time, and estimated blood loss were compared between the two groups using Mann-Whitney test.ResultsThe percent devascularization, interventional procedure time, fluoroscopy time, operative time, and estimated blood loss were not statistically different between the two groups (p > 0.05). On the other hand, the number of angiographic runs in the CBCT-ABS group was significantly lower than that in the DSA group (p = 0.029). The total DAP of the CBCT-ABS group (mean, 17700.7 μGym2) was higher than that of the DSA group (mean, 8939.4 μGym2) (p = 0.002).ConclusionsThe use of CBCT-ABS during the preoperative embolization of pelvic bone tumors significantly reduces the number of angiographic runs at the cost of an increased radiation dose.

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Section: Introductionmentioning

confidence: 99%

Cone-beam computed tomography with automated bone subtraction in preoperative embolization for pelvic bone tumors

et al. 2017

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“…With the use of an acrylic glue it is possible to limit embolization to the proximal larger vessels. Considering, nevertheless, that the occlusion will be irreversible, this agent should be used only by experienced radiologists, due to the high risk of permanent occlusion of non-targeted vessels [24,25]. In the present report, the final procedure was performed using two agents: the acrylic glue was used for larger vessels, where the risk of reflux was low and a permanent embolization was needed; while the use of PVA was retained for the occlusion of smaller vessels, where a higher risk of reflux was considerable and with the objective of reaching the distal vascular core of the tumor.…”

Section: Discussionmentioning

confidence: 99%

Palliative embolization arteries or veins for a recurrent pelvic chondrosarcoma

Biz¹,

Angelini²,

Crimì³

et al. 2020

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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“…Embolization is performed for the treatment of bone lesions either alone or in combination with other techniques [ 2 , 3 , 7 ]. It reduces hypervascularization of the lesions by injection of embolic agents into the vessels, causing necrosis of the tumors.…”

Section: Interventional Radiology—techniquesmentioning

confidence: 99%

“…Apart from pain, complications like pathological fractures and spinal cord compression may occur, worsening patients’ quality of life and prognosis. Fifty percent of the painful symptomatology experienced by patients with cancer originates from BM [ 1 , 2 , 3 , 4 ]. In case of tumoral extension to neural structures, pain may be radicular (exacerbated by percussion or palpation) and/or mechanical (exacerbated by movement) [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…In case of tumoral extension to neural structures, pain may be radicular (exacerbated by percussion or palpation) and/or mechanical (exacerbated by movement) [ 5 , 6 ]. In advanced stages of the disease, pain can become intolerable and refractory to conventional therapies, causing walking disability, psychological and functional impact, and significantly impairing quality of life [ 2 , 3 , 4 , 7 ]. The approach to the patient with BM must be strictly multidisciplinary with the involvement of all professional figures (oncologist, radiotherapist, orthopedic, and pain therapy specialist) to offer the patient the best treatments.…”

Section: Introductionmentioning

confidence: 99%

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Interventional Radiology in the Management of Metastases and Bone Tumors

Sgalambro

Zugaro

Bruno

et al. 2022

JCM

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Interventional Radiology (IR) has experienced an exponential growth in recent years. Technological advances of the last decades have made it possible to use new treatments on a larger scale, with good results in terms of safety and effectiveness. In musculoskeletal field, painful bone metastases are the most common target of IR palliative treatments; however, in selected cases of bone metastases, IR may play a curative role, also in combination with other techniques (surgery, radiation and oncology therapies, etc.). Primary malignant bone tumors are extremely rare compared with secondary bone lesions: osteosarcoma, Ewing sarcoma, and chondrosarcoma are the most common; however, the role of interventional radiology in this fiels is marginal. In this review, the main techniques used in interventional radiology were examined, and advantages and limitations illustrated. Techniques of ablation (Radiofrequency, Microwaves, Cryoablation as also magnetic resonance imaging-guided high-intensity focused ultrasound), embolization, and Cementoplasty will be described. The techniques of ablation work by destruction of pathological tissue by thermal energy (by an increase of temperature up to 90 °C with the exception of the Cryoablation that works by freezing the tissue up to −40 °C). Embolization creates an ischemic necrosis by the occlusion of the arterial vessels that feed the tumor. Finally, cementoplasty has the aim of strengthening bone segment weakened by the growth of pathological tissue through the injection of cement. The results of the treatments performed so far were also assessed and presented focused the attention on the management of bone metastasis.

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Preoperative transarterial embolization using gelatin sponge for hypervascular bone and soft tissue tumors in the pelvis or extremities

Abstract: Preoperative transarterial embolization using a gelatin sponge appears to be feasible and safe, and may contribute to decreasing IBL.

Cited by 12 publications

References 19 publications

Cone-beam computed tomography with automated bone subtraction in preoperative embolization for pelvic bone tumors

Cone-beam computed tomography with automated bone subtraction in preoperative embolization for pelvic bone tumors

Palliative embolization arteries or veins for a recurrent pelvic chondrosarcoma

Interventional Radiology in the Management of Metastases and Bone Tumors

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