Preoperative Embolization of Spinal Tumors

Breslau, Jonathan; Eskridge, Joseph M.

doi:10.1016/s1051-0443(95)71205-2

Cited by 77 publications

(43 citation statements)

References 16 publications

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“…Our data indicate that primary tumors and non-RCC metastasis had mean blood losses similar to those of the literature benchmark of approximately 2 L. [3][4][5][11][12][13] RCCs demonstrated a statistically significantly greater blood loss with EBLs approaching 3 L (P ϭ .009). This value is higher than those reported by others; though after subdividing these cases into those undergoing complete or partial embolization, the mean EBL of completely embolized RCCs approximated a value just under 2 L, an amount comparable with that in these previous studies.…”

Section: Discussionsupporting

confidence: 74%

Retrospective Analysis of Preoperative Embolization of Spinal Tumors

Wilson

Cooke

Ghodke

et al. 2009

AJNR Am J Neuroradiol

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Section: Discussionsupporting

confidence: 74%

Retrospective Analysis of Preoperative Embolization of Spinal Tumors

Wilson

Cooke

Ghodke

et al. 2009

AJNR Am J Neuroradiol

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“…None of the patients from our study population developed any such complication or any other complications related to angiography and embolization. This is in concordance with previous studies where no major complications were reported [11,3032] . Our results showed significantly less blood in a variety of surgically resected bone tumours as compared with the preembolisation era, and comparable blood loss to other studies [12,27,29] .…”

Section: Discussionsupporting

confidence: 94%

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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“…By shrinking the size of the tumor, which resulted in nerve root or spinal cord compression, pain relief is achieved (21). Some authors have demonstrated that chemoembolization alone may significantly alleviate pain resulting from bone metastases (21)(22)(23)(24)(25). The pain relief begins several hours or days after embolization.…”

Section: Discussionmentioning

confidence: 99%