Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach
Purpose: The aim of this study was to assess the clinical application, extent of tumour devascularization and surgical outcome after embolization of nasopharyngeal angiofibromas prior to surgery by using percutaneous cyanoacrylate glue and endovascular particulate material. We discuss our primary ex...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2016-12-01
|
| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X16301644 |
| _version_ | 1819173568406093824 |
|---|---|
| author | Mohamed Abdel Hakim Osman Kasem Ahmed Sayed Awad Hussam Al Dein Mahmoud Al Bosraty Ayman Ismail Kamel |
| author_facet | Mohamed Abdel Hakim Osman Kasem Ahmed Sayed Awad Hussam Al Dein Mahmoud Al Bosraty Ayman Ismail Kamel |
| author_sort | Mohamed Abdel Hakim Osman Kasem |
| collection | DOAJ |
| description | Purpose: The aim of this study was to assess the clinical application, extent of tumour devascularization and surgical outcome after embolization of nasopharyngeal angiofibromas prior to surgery by using percutaneous cyanoacrylate glue and endovascular particulate material. We discuss our primary experience, and describe technical considerations and potential complications of the procedure.
Subjects and methods: This study reports 29 patients with juvenile nasopharyngeal angiofibromas; that were embolized prior to surgical resection with percutaneous glue and endovascular particulate material; with surgery performed 24–72 h later. Preoperative and postoperative imaging studies were reviewed. Documented intraoperative blood loss was obtained and analysed.
Results: Almost complete radiographic devascularization was encountered in 26 of 29 tumours. An average of 3.2 spinal needles was placed in the tumours. An average of 4.2 mL of cyanoacrylate glue was injected into each tumour. The estimated mean of the blood transfused during the operations was 150 mL. The embolization procedure proved to be safe and effective with no major or serious complications.
Conclusion: The embolization of nasopharyngeal angiofibromas before surgery using percutaneous cyanoacrylate glue with endovascular particulate material proved to efficiently devascularize these tumours with lower blood loss during surgery and no major procedural complications. |
| first_indexed | 2024-12-22T20:25:09Z |
| format | Article |
| id | doaj.art-0a61742df0a140bb87b2aaa322811b60 |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-22T20:25:09Z |
| publishDate | 2016-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-0a61742df0a140bb87b2aaa322811b602022-12-21T18:13:45ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2016-12-014741431144110.1016/j.ejrnm.2016.09.001Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approachMohamed Abdel Hakim Osman Kasem0Ahmed Sayed Awad1Hussam Al Dein Mahmoud Al Bosraty2Ayman Ismail Kamel3Department of Diagnostic & Interventional Radiology, Cairo University, EgyptDepartment of Diagnostic & Interventional Radiology, Cairo University, EgyptDepartment of Otolaryngology, Cairo University, EgyptDepartment of Diagnostic & Interventional Radiology, Cairo University, EgyptPurpose: The aim of this study was to assess the clinical application, extent of tumour devascularization and surgical outcome after embolization of nasopharyngeal angiofibromas prior to surgery by using percutaneous cyanoacrylate glue and endovascular particulate material. We discuss our primary experience, and describe technical considerations and potential complications of the procedure. Subjects and methods: This study reports 29 patients with juvenile nasopharyngeal angiofibromas; that were embolized prior to surgical resection with percutaneous glue and endovascular particulate material; with surgery performed 24–72 h later. Preoperative and postoperative imaging studies were reviewed. Documented intraoperative blood loss was obtained and analysed. Results: Almost complete radiographic devascularization was encountered in 26 of 29 tumours. An average of 3.2 spinal needles was placed in the tumours. An average of 4.2 mL of cyanoacrylate glue was injected into each tumour. The estimated mean of the blood transfused during the operations was 150 mL. The embolization procedure proved to be safe and effective with no major or serious complications. Conclusion: The embolization of nasopharyngeal angiofibromas before surgery using percutaneous cyanoacrylate glue with endovascular particulate material proved to efficiently devascularize these tumours with lower blood loss during surgery and no major procedural complications.http://www.sciencedirect.com/science/article/pii/S0378603X16301644Nasopharyngeal angiofibromasDirect percutaneous embolizationCyanoacrylate glue |
| spellingShingle | Mohamed Abdel Hakim Osman Kasem Ahmed Sayed Awad Hussam Al Dein Mahmoud Al Bosraty Ayman Ismail Kamel Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach The Egyptian Journal of Radiology and Nuclear Medicine Nasopharyngeal angiofibromas Direct percutaneous embolization Cyanoacrylate glue |
| title | Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach |
| title_full | Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach |
| title_fullStr | Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach |
| title_full_unstemmed | Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach |
| title_short | Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach |
| title_sort | preoperative embolization of nasopharyngeal angiofibromas the role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach |
| topic | Nasopharyngeal angiofibromas Direct percutaneous embolization Cyanoacrylate glue |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X16301644 |
| work_keys_str_mv | AT mohamedabdelhakimosmankasem preoperativeembolizationofnasopharyngealangiofibromastheroleofdirectpercutaneousinjectionofcyanoacrylateglueinconjunctionwithparticulateendovascularapproach AT ahmedsayedawad preoperativeembolizationofnasopharyngealangiofibromastheroleofdirectpercutaneousinjectionofcyanoacrylateglueinconjunctionwithparticulateendovascularapproach AT hussamaldeinmahmoudalbosraty preoperativeembolizationofnasopharyngealangiofibromastheroleofdirectpercutaneousinjectionofcyanoacrylateglueinconjunctionwithparticulateendovascularapproach AT aymanismailkamel preoperativeembolizationofnasopharyngealangiofibromastheroleofdirectpercutaneousinjectionofcyanoacrylateglueinconjunctionwithparticulateendovascularapproach |