Abstract | PURPOSE: To present and evaluate a devascularization technique for hypervascular tumors of the head and neck by direct tumor puncture. METHODS: RESULTS: Total devascularization was obtained in 14 cases, and devascularization greater than 90% was obtained in 3 cases. Thirteen tumors were totally resected without requiring blood transfusion. During surgery, the limits of the exsanguinated tumor were very well defined in every case by the black staining induced by tungsten. Of the 4 tumors embolized but not operated on (3 metastases and 1 glomus tumor), 2 metastases needed retreatment after 6 and 8 months of remission, respectively. The other metastasis is still in remission after 3 months, and the volume of the glomus tumor decreased by 80% remains unchanged after 8 months. CONCLUSION: This technique was initially used to devascularize tumors with difficult or dangerous intravascular access, but in view of the hemodynamic and surgical results obtained, we believe that the indications for this technique can be extended to hypervascular tumors accessible to conventional embolization.
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Authors | A Casasco, D Herbreteau, E Houdart, B George, P Tran Ba Huy, D Deffresne, J J Merland |
Journal | AJNR. American journal of neuroradiology
(AJNR Am J Neuroradiol)
Vol. 15
Issue 7
Pg. 1233-9
(Aug 1994)
ISSN: 0195-6108 [Print] United States |
PMID | 7976931
(Publication Type: Journal Article)
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Topics |
- Angiofibroma
(blood supply, therapy)
- Angiography, Digital Subtraction
- Cerebral Angiography
- Combined Modality Therapy
- Craniotomy
- Embolization, Therapeutic
(methods)
- Follow-Up Studies
- Glomus Tumor
(blood supply, therapy)
- Head and Neck Neoplasms
(blood supply, secondary, therapy)
- Hemangiopericytoma
(blood supply, therapy)
- Humans
- Nasopharyngeal Neoplasms
(blood supply, therapy)
- Punctures
- Skull
(blood supply)
- Skull Neoplasms
(blood supply, secondary, therapy)
- Thyroid Neoplasms
(blood supply, therapy)
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