Evaluation of preoperative embolization and surgical experience for spinal cord hemangioblastoma

<p><strong>Objective</strong> The aim of this study was to investigate whether preoperative embolization would facilitate spinal cord hemangioblastoma (SCH) resection, and the surgical experience was also summarized.  <strong>Methods</strong> Clinical data and radiol...

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Main Authors: Wei YANG, Feng ZUO
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2014-07-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/1002
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author Wei YANG
Feng ZUO
author_facet Wei YANG
Feng ZUO
author_sort Wei YANG
collection DOAJ
description <p><strong>Objective</strong> The aim of this study was to investigate whether preoperative embolization would facilitate spinal cord hemangioblastoma (SCH) resection, and the surgical experience was also summarized.  <strong>Methods</strong> Clinical data and radiological studies of 13 patients with SCH admitted in our hospital from January 2000 to December 2010 were retrospectively reviewed. Spinal MRI and DSA studies as well as histological diagnoses were available in all patients.  <strong>Results </strong> Preoperative MRI and DSA were performed in all cases and preoperative superselective embolization in 10 cases. Total resection was achieved in all cases. During the follow-up period, 12 patients were improved, while one case remained stable.  <strong>Conclusions</strong> Spinal DSA could be indicated to demonstrate the vascularity of SCH. Preoperative superselective embolization would be effective in reducing blood supply and tension of tumor, thus facilitating total resection with minimal bleeding. When separating the tumor, artery should be clipped firstly, followed by dealing with vein, which also contributed to reduction of bleeding.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.07.015</p>
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spelling doaj.art-4a8120e331a148299c3971ee60e8f3142022-12-21T20:03:03ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312014-07-01147628632999Evaluation of preoperative embolization and surgical experience for spinal cord hemangioblastomaWei YANG0Feng ZUO1Department of Neurosurgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, ChinaDepartment of Neurosurgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China<p><strong>Objective</strong> The aim of this study was to investigate whether preoperative embolization would facilitate spinal cord hemangioblastoma (SCH) resection, and the surgical experience was also summarized.  <strong>Methods</strong> Clinical data and radiological studies of 13 patients with SCH admitted in our hospital from January 2000 to December 2010 were retrospectively reviewed. Spinal MRI and DSA studies as well as histological diagnoses were available in all patients.  <strong>Results </strong> Preoperative MRI and DSA were performed in all cases and preoperative superselective embolization in 10 cases. Total resection was achieved in all cases. During the follow-up period, 12 patients were improved, while one case remained stable.  <strong>Conclusions</strong> Spinal DSA could be indicated to demonstrate the vascularity of SCH. Preoperative superselective embolization would be effective in reducing blood supply and tension of tumor, thus facilitating total resection with minimal bleeding. When separating the tumor, artery should be clipped firstly, followed by dealing with vein, which also contributed to reduction of bleeding.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.07.015</p>http://www.cjcnn.org/index.php/cjcnn/article/view/1002HemangioblastomaSpinal cord neoplasmsEmbolization, therapeuticAngiography, digital subtraction
spellingShingle Wei YANG
Feng ZUO
Evaluation of preoperative embolization and surgical experience for spinal cord hemangioblastoma
Chinese Journal of Contemporary Neurology and Neurosurgery
Hemangioblastoma
Spinal cord neoplasms
Embolization, therapeutic
Angiography, digital subtraction
title Evaluation of preoperative embolization and surgical experience for spinal cord hemangioblastoma
title_full Evaluation of preoperative embolization and surgical experience for spinal cord hemangioblastoma
title_fullStr Evaluation of preoperative embolization and surgical experience for spinal cord hemangioblastoma
title_full_unstemmed Evaluation of preoperative embolization and surgical experience for spinal cord hemangioblastoma
title_short Evaluation of preoperative embolization and surgical experience for spinal cord hemangioblastoma
title_sort evaluation of preoperative embolization and surgical experience for spinal cord hemangioblastoma
topic Hemangioblastoma
Spinal cord neoplasms
Embolization, therapeutic
Angiography, digital subtraction
url http://www.cjcnn.org/index.php/cjcnn/article/view/1002
work_keys_str_mv AT weiyang evaluationofpreoperativeembolizationandsurgicalexperienceforspinalcordhemangioblastoma
AT fengzuo evaluationofpreoperativeembolizationandsurgicalexperienceforspinalcordhemangioblastoma