Preoperative Embolisation in Benign Bone Tumour Excision

Lee, V N; Nithyananth, Manasseh; Cherian, Vijit Koshy; Amritanand, Rohit; Krishnan, Venkatesh; Sundararaj, Gabriel David; Raghuram, Lakshminarayan

doi:10.1177/230949900801600118

Cited by 10 publications

(6 citation statements)

References 17 publications

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“…18 Retrospective EBL = 1100-2600 mL MBL = 1400 mL BT = 0-8 units Kobayashi et al [27] 2012 62 Retrospective EBL = 250-11000 mL MBL = 2554 mL BT = 0-28 units Al-Hadithy et al [20] 2011 26 Retrospective EBL = 100-1800 mL BT = 0-3 units Zhang et al [32] 2009 47 Retrospective EBL = 705 ± 120 mL BT = 689 ± 133 mL Lee et al [13] 2008 6 Prospective EBL = 200-830 mL BT = Nil Our study 2012-2013 26 (study group) Case control study For study group EBL = 250-2900 mL BT = 0-1400 mL 28 (control group)…”

Section: Ref Year No Of Patients Type Of Study Resultsmentioning

confidence: 99%

“…Another study reported by Kobayashi et al [27] used PVA and embosphere as embolising material. In study reported by Lee et al [13] only gelfoam was used for embolization.…”

Section: Discussionmentioning

confidence: 99%

“…None of the previous studies from literature comprised of this number of GCT and the most common histology in previous studies was metastatic tumors [16,19,21,22] . In a prospective study done by Lee et al [13] total 6 patients were studied. Out of 6 patients they studied, three patients had GCT and 3 patients had ABC.…”

Section: Discussionmentioning

confidence: 99%

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Preoperative embolization of primary bone tumors: A case control study

Jha

Sharma

Rastogi

et al. 2016

WJR

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AIM:To study the safety and effectiveness of preoperative embolization of primary bone tumors in relation to intraoperative blood loss, intraoperative blood transfusion volume and surgical time. METHODS:Thirty-three patients underwent preoperative embolization of primary tumors of extremities, hip or vertebrae before resection and stabilization. The primary osseous tumors included giant cell tumors, aneurysmal bone cyst, osteoblastoma, chondroblastoma and chondrosarcoma. Twenty-six patients were included for the statistical analysis (embolization group) as they were operated within 0-48 h within preoperative embolization. A control group (non-embolization group, n = 28) with bone tumor having similar histological diagnosis and operated without embolization was retrieved from hospital record for statistical comparison. RESULTS:The mean intraoperative blood loss was 1300 mL (250-2900 mL), the mean intraoperative blood transfusion was 700 mL (0-1400 mL) and the mean surgical time was 221 ± 76.7 min for embolization group (group Ⅰ, n = 26). Non-embolization group (group Ⅱ, n = 28), the mean intraoperative blood loss was 1800 mL (800-6000 mL), the mean intraoperative blood transfusion was 1400 mL (700-8400 mL) and the mean Case Control Study ORIGINAL ARTICLEsurgical time was 250 ± 69.7 min. On comparison, statistically significant (P < 0.001) difference was found between embolisation group and non-embolisation group for the amount of blood loss and requirement of blood transfusion. There was no statistical difference between the two groups for the surgical time. No patients developed any angiography or embolization related complications. CONCLUSION:Preoperative embolization of bone tumors is a safe and effective adjunct to the surgical management of primary bone tumors that leads to reduction in intraoperative blood loss and blood transfusion volume.

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Section: Ref Year No Of Patients Type Of Study Resultsmentioning

confidence: 99%

“…Another study reported by Kobayashi et al [27] used PVA and embosphere as embolising material. In study reported by Lee et al [13] only gelfoam was used for embolization.…”

Section: Discussionmentioning

confidence: 99%

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Preoperative embolization of primary bone tumors: A case control study

Jha

Sharma

Rastogi

et al. 2016

WJR

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“…Embolisation reduces tumour vascularity (Fig. ) and assists in tumour excision with an adequate margin . The aim of embolisation is to occlude as much of the tumour arterial supply as possible, without sacrificing the non‐targeted arteries .…”

Section: Technique and Embolic Agentsmentioning

confidence: 99%

“…Embolisation of bone tumours has been accepted as a useful treatment for various reasons. For those tumours that require surgical resection, pre‐operative embolisation reduces intra‐operative blood loss . For those inoperable tumours, palliative control of pain or bleeding can be achieved .…”

Section: Introductionmentioning

confidence: 99%

Embolisation of hypervascular bone tumours: A pictorial essay with literature review

2012

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SummaryBone tumours, either primary or secondary, can present in various debilitating manners, including pain and pathological fracture. The situation is particularly problematic when the tumours are hypervascular, and located in regions where a high risk of neurological compromise is anticipated during operation, such as in the spine or sacrum. In such situations, bone tumour embolisation is a useful and effective adjunctive treatment for reducing intra-operative blood loss. This is particularly relevant in primary bone tumours such as giant cell tumours and metastatic renal cell and thyroid tumours. With a proper pre-embolisation angiogram and knowledge of anatomy, careful selective cannulation of the arterial supplies and experience in using embolic agents, the risks of non-target embolisation can be kept to minimum and the best result achieved.

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Percutaneous management of bone metastases: state of the art, interventional strategies and joint position statement of the Italian College of MSK Radiology (ICoMSKR) and the Italian College of Interventional Radiology (ICIR)

et al. 2018

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Interventional radiology provides local management of bone metastases (BM) with a palliative intent in most cases, or with a curative intent in selected patients. Its role has rapidly expanded in the last decade, offering new treatment solutions often in combination with surgery, radiation therapy and medical treatments. The aim of the present paper is to increase awareness, acceptance and adoption of interventional radiology procedures for the treatment of BM; and to present the joint position of the Italian College of Musculoskeletal Radiology and the Italian College of Interventional Radiology.

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Preoperative Embolisation in Benign Bone Tumour Excision

Cited by 10 publications

References 17 publications

Preoperative embolization of primary bone tumors: A case control study

Preoperative embolization of primary bone tumors: A case control study

Embolisation of hypervascular bone tumours: A pictorial essay with literature review

Percutaneous management of bone metastases: state of the art, interventional strategies and joint position statement of the Italian College of MSK Radiology (ICoMSKR) and the Italian College of Interventional Radiology (ICIR)

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