Ces radiol. 2007, 61(3):308-313

Therapeutic embolization of cranial tumours: complications and controversiesReview article

Antonín Krajina1, Jiří Náhlovský2, Miroslav Lojík1, Svatopluk Řehák2
1 Radiologická klinika LF a FN, Hradec Králové
2 Neurochirurgická klinika LF a FN, Hradec Králové

This is a review article on endovascular embolization of head, neck and brain tumors with the aim of helping the clinical management of these lesions. These hypervascular tumours can be associated with significant blood loss during surgery. Pre-operative embolization of these lesions has been proposed as a method of reducing the intra-operative blood loss.This technique involves the supraselective catheterisation of the feeding arteries of the tumour bed, followed by infusion of embolic particles or liquid agents (acrylic glue or ethanol) to obliterate the tumour bed with the aim of inducing devascularization, and eventually necrosis. Pre-operative embolotherapy for vascular tumours is well-established method, although controversial in terms of its risk-benefit ratio.

Keywords: embolization, juvenile angiofibroma, meningioma, head and neck tumors, paraganglioma

Accepted: July 15, 2007; Published: September 1, 2007  Show citation

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Krajina A, Náhlovský J, Lojík M, Řehák S. Therapeutic embolization of cranial tumours: complications and controversies. Ces radiol. 2007;61(3):308-313.
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    References

    1. Manelfe C, Gairand B, David J, et al. Embolisation par catheterisme des menigiomes intracranienes. Rev Neurol 1973; 128: 339-351.
    2. Kunc Z, Bret J. Diagnosis and treatment of vascular malformations of the spinal cord. J Neurosurg 1969; 4: 436-445. Go to original source... Go to PubMed...
    3. Hlava A, Steinhart L, Navratil P. Intracranial obliteration of renal arteries in kidney tumors. Radiology 1976; 121: 323-329. Go to original source... Go to PubMed...
    4. Berenstein A, Lasjaunias P, TerBrugge KG. Dural and bony tumors, nasopharyngeal tumors, paragangliomas. In Berenstein A, Lasjaunias P, TerBrugge KG. Surgical Neuroangiography 2.1, Second edition, Springer: Berlin 2004; 154-276. Go to original source...
    5. Valavanis A, Christoforidis G. Tumours of the head and neck. In J Byrne Interventional neuroradiology. Theory and practice. Oxford University Press 2002; 213-238. Go to original source...
    6. Gonzales CF, Moret J. Balloon occlusion of the carotid artery prior to surgery for neck tumors. Am J Neuroradiol 1990; 11: 649-652.
    7. Krajina A, Náhlovský J, Růžička J, et al. Předoperační a paliativní embolizace hypervaskulárních tumorů hlavy, krku a páteře pomocí mikročástic. Čes a Slov Neurol Neurochir 1998; 61/94(1): 37-42.
    8. Russell EJ. Functional angiography of the head and neck. Am J Neuroradiol 1986; 7: 927-936.
    9. Cacasco A. Major complications of percutaneous embolization of skull base tumors. Am J Neuroradiol 1999; 20: 179-181.
    10. Kurata A, Miyasaka Y, Tanaka C, Tokiwa K, Saegusa H, Fujii K, Kan S. Prevention of complications during endovascular surgery on the external carotid arteries, with special reference to use of nitropaste and the Lidocaine test. Intervent Neuroradiol 1996; 2: 193-200. Go to original source... Go to PubMed...
    11. Casasco A, Herbreteau D, Houdart E, et al. Devascularization of craniofacial tumour by percutaneous tumour puncture. Am J Neuroradiol 1994; 15: 1233-1239.
    12. Charvát F, Kozler P, Kramář F, Beneš V. Embolizace nitrolebních meningiomů bez následné operace; vlastní zkušenosti s prvními 12 nemocnými. Čes Radiol 2006; 60(3): 157-163.
    13. Lonser RR, Heiss JD, Oldfield EH. Tumour devascularization by intratumoral ethanol injection during surgery. J Neurosurg 1998; 88: 923-924. Go to original source... Go to PubMed...
    14. Théron J, Cosgrove R, Melanson D, Ethier R. Embolization with temporary balloon occlusion of the internal carotid or vertebral arteries. Neuroradiology 1986; 28: 246-253. Go to original source... Go to PubMed...
    15. Steno J, Bizik I, Krajina A, Matejcik V, Surkala J, Profant M, Krist J. Meningeómy klivu. Bratisl lek Listy 2000; 101(4): 200-205.
    16. Wakhloo Ak, Juengling FD, Van Velthoven V, et al. Extended preoperative polyvinylalcohol microembolization of intracranial meningeomas: assessment of two embolization techniques. Am J Neuroradiol 1993; 14: 571-582.
    17. Latchaw RE. Preoperative intracranial meningioma embolisation: technical consideration affecting the risk-to-benefit ratio. Am J Neuroradiol 1993; 14: 583-586.
    18. Jungreis CHA. Skull-base tumors: ethanol embolization of the cavernous carotid artery. Radiology 1991; 181: 741-743. Go to original source... Go to PubMed...
    19. Bendszus M, Klein R, Burger R, Warmoth-Metz M, Hofmann E, Solymosi L. Efficacy of trisacryl gelatin microspheres versus polyvinyl alcohol particles in the preoperative embolization of meningiomas. Am J Neuroradiol 2000; 21: 255-261.
    20. Black PM. Meningiomas. Neurosurgery 1993; 32: 643-657. Go to original source...
    21. Folkman J. Tumor angiogengesis: therapeutic implications. N Engl J Med 1971; 285: 1182-1186. Go to original source... Go to PubMed...
    22. Rosen CL, Ammerman JM, Sekhar LN, Bank WO. Outcome analysis of preoperative embolization in cranial base surgery. Acta Neurochir 2002; 144: 1157-1164. Go to original source... Go to PubMed...
    23. Bendszus M, Rao G, Burger R, et al. Is there a benefit of preoperative meningioma embolization? Neurosurgery 2000; 47 (6): 1306-1312. Go to original source...
    24. Yu SCH, Boet R, Wong GKC, Lam WWM, Poon WS. Postembolization hemorrhage of a large and necrotic meningioma. Am J Neuroradiol 2004; 25: 506-508.
    25. Bendszus M, Martin-Schrader I, Warmuth-Metz M, Hofmann E, Solymosi L. MR paging- and MR spectroscopy-revealed changes in meningiomas for which embolization was performed without subsequent surgery. Am J Neuroradiol 2000; 21: 666-669.
    26. Dean BL, Flom RA, Wallace RC, et al. Efficacy of endovascular treatment of meningiomas: evaluation with matched samples. Am J Neuroradiol 1994; 15: 1675-1680.
    27. Oka H. Preoperative superselective embolization of skull base meningiomas: indications and limitations. J Neuro-oncology 1998; 40: 67-71. Go to original source... Go to PubMed...
    28. Bendszus M, Monoranu CM, Schütz A, Nölte I, Vince GH, Solymosi L. Neurologic complications after particle embolization of intracranial meningiomas. Am J Neuroradiol 2005; 26: 1413-1419.
    29. Craven JP. Quigley TM, Bolen JW, Raker EJ. Current management of clinical outcome of hemangiopericytomas. Amer J Surg 1992; 163: 490-493. Go to original source... Go to PubMed...
    30. Liščák R, Vladyka V, Wowra B, et al. Gamma knife radiosurgery of the glomus jugulare tumour - early multicentre experience. Acta Neurochir 1999; 141: 1141-1146. Go to original source... Go to PubMed...
    31. Garcia-Cervigon E, Bien S, Rüfenacht D, Thurel C, Reizine D, Huy PTB, Merland JJ. Pre-operative embolization of nasopharyngeal angiofibromas. Neuroradiology 1988; 30: 556-560. Go to original source... Go to PubMed...
    32. Moulin G, Chagnaud Ch, Gras R, et al. Juvenile angiofibroma: comparison of blood loss during removal in embolized group versus nonembolized group. Cardiovasc Intervent Radiol 1995; 18: 158-161. Go to original source... Go to PubMed...
    33. McCombe A, Lund VJ, Howard DJ. Recurrence in juvenile angiofibroma. Rhinology 1990; 28: 97-102.
    34. Tampieri D, Leblanc R, TerBrugge K. Preoperative embolization of brain and spinal hemangioblastomas. Neurosurgery 1993; 33(3): 502-505. Go to original source...
    35. Oten ML, Riina HA, Gobin YP, Souweidane MM. Preoperative embolizatin in the treatement of chorioid plexus papilloma in an infant. J Neurosurg (6 Suppl Pediatrics) 2006; 104: 419-421. Go to original source... Go to PubMed...
    36. Gupta R, Thomas AJ, Horowitz M. Intracranial head and neck tumors: endovascular considerations, present and future. Neurosurgery 2006; 59(5): S251-S260. Go to original source... Go to PubMed...
    37. Smith TP. Embolization in the external carotid artery. J Vasc Interv Radiol 2006; 17: 1897-1913. Go to original source... Go to PubMed...

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