Preoperative Arterial Embolization of Musculoskeletal Tumors: A Tertiary Center Experience
The purpose of this study was to report the effectiveness of preoperative transcatheter arterial embolization (TAE) of musculoskeletal tumors in terms of blood loss and functional outcomes. Patients who underwent preoperative TAE of hypervascular musculoskeletal tumors between January 2018 and Decem...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/15/9/2657 |
| _version_ | 1797602836289159168 |
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| author | Alice Kedra Anthony Dohan David Biau Anissa Belbachir Raphael Dautry Alexandre Lucas Mathilde Aissaoui Antoine Feydy Philippe Soyer Maxime Barat |
| author_facet | Alice Kedra Anthony Dohan David Biau Anissa Belbachir Raphael Dautry Alexandre Lucas Mathilde Aissaoui Antoine Feydy Philippe Soyer Maxime Barat |
| author_sort | Alice Kedra |
| collection | DOAJ |
| description | The purpose of this study was to report the effectiveness of preoperative transcatheter arterial embolization (TAE) of musculoskeletal tumors in terms of blood loss and functional outcomes. Patients who underwent preoperative TAE of hypervascular musculoskeletal tumors between January 2018 and December 2021 were retrospectively included. The patients’ characteristics, TAE procedure details, degree of post-TAE devascularization, surgical outcomes in terms of red blood cell transfusion and functional results were collected. The degree of devascularization was compared between patients who had peri-operative transfusion and those who did not. Thirty-one patients were included. The 31 TAE procedures led to complete (58%) or near-complete (42%) tumor devascularization. Twenty-two patients (71%) had no blood transfusion during surgery. Nine patients (29%) had a blood transfusion, with a median number of red blood cell packs of three (q1, 2; q3, 4; range: 1–4). Eight patients (27%) had complete improvement of the initial musculoskeletal symptoms at the end of the follow-up, 15 (50%) had partially satisfying improvement, 4 (13%) had partially unsatisfying improvement and 3 (10%) had no improvement. Our study suggests that preoperative TAE of hypervascular musculoskeletal tumors allowed for bloodless surgery in 71% of patients and minimal transfusion needs for the remaining 29%. |
| first_indexed | 2024-03-11T04:22:09Z |
| format | Article |
| id | doaj.art-4e6a85a37862493baf10a0cf88445c82 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-11T04:22:09Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-4e6a85a37862493baf10a0cf88445c822023-11-17T22:42:46ZengMDPI AGCancers2072-66942023-05-01159265710.3390/cancers15092657Preoperative Arterial Embolization of Musculoskeletal Tumors: A Tertiary Center ExperienceAlice Kedra0Anthony Dohan1David Biau2Anissa Belbachir3Raphael Dautry4Alexandre Lucas5Mathilde Aissaoui6Antoine Feydy7Philippe Soyer8Maxime Barat9Department of Diagnostic and Interventional Imaging, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, 75014 Paris, FranceDepartment of Diagnostic and Interventional Imaging, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, 75014 Paris, FranceFaculté de Médecine, Université Paris Cité, 75006 Paris, FranceDepartment of Anesthesiology, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, 75014 Paris, FranceDepartment of Diagnostic and Interventional Imaging, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, 75014 Paris, FranceDepartment of Diagnostic and Interventional Imaging, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, 75014 Paris, FranceDepartment of Diagnostic and Interventional Imaging, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, 75014 Paris, FranceFaculté de Médecine, Université Paris Cité, 75006 Paris, FranceDepartment of Diagnostic and Interventional Imaging, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, 75014 Paris, FranceDepartment of Diagnostic and Interventional Imaging, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, 75014 Paris, FranceThe purpose of this study was to report the effectiveness of preoperative transcatheter arterial embolization (TAE) of musculoskeletal tumors in terms of blood loss and functional outcomes. Patients who underwent preoperative TAE of hypervascular musculoskeletal tumors between January 2018 and December 2021 were retrospectively included. The patients’ characteristics, TAE procedure details, degree of post-TAE devascularization, surgical outcomes in terms of red blood cell transfusion and functional results were collected. The degree of devascularization was compared between patients who had peri-operative transfusion and those who did not. Thirty-one patients were included. The 31 TAE procedures led to complete (58%) or near-complete (42%) tumor devascularization. Twenty-two patients (71%) had no blood transfusion during surgery. Nine patients (29%) had a blood transfusion, with a median number of red blood cell packs of three (q1, 2; q3, 4; range: 1–4). Eight patients (27%) had complete improvement of the initial musculoskeletal symptoms at the end of the follow-up, 15 (50%) had partially satisfying improvement, 4 (13%) had partially unsatisfying improvement and 3 (10%) had no improvement. Our study suggests that preoperative TAE of hypervascular musculoskeletal tumors allowed for bloodless surgery in 71% of patients and minimal transfusion needs for the remaining 29%.https://www.mdpi.com/2072-6694/15/9/2657blood losssurgicalbone neoplasmsembolizationpreoperativemusculoskeletal |
| spellingShingle | Alice Kedra Anthony Dohan David Biau Anissa Belbachir Raphael Dautry Alexandre Lucas Mathilde Aissaoui Antoine Feydy Philippe Soyer Maxime Barat Preoperative Arterial Embolization of Musculoskeletal Tumors: A Tertiary Center Experience Cancers blood loss surgical bone neoplasms embolization preoperative musculoskeletal |
| title | Preoperative Arterial Embolization of Musculoskeletal Tumors: A Tertiary Center Experience |
| title_full | Preoperative Arterial Embolization of Musculoskeletal Tumors: A Tertiary Center Experience |
| title_fullStr | Preoperative Arterial Embolization of Musculoskeletal Tumors: A Tertiary Center Experience |
| title_full_unstemmed | Preoperative Arterial Embolization of Musculoskeletal Tumors: A Tertiary Center Experience |
| title_short | Preoperative Arterial Embolization of Musculoskeletal Tumors: A Tertiary Center Experience |
| title_sort | preoperative arterial embolization of musculoskeletal tumors a tertiary center experience |
| topic | blood loss surgical bone neoplasms embolization preoperative musculoskeletal |
| url | https://www.mdpi.com/2072-6694/15/9/2657 |
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