Pre-Operative Embolisation of Musculoskeletal Tumours - A Single Centre Experience
INTORDUCTION: The management of musculoskeletal tumours is complex and requires a multi-disciplinary approach. Preoperative embolisation can be often employed to reduce intra-operative blood loss and complication rates from surgery. We report our experience with the safety, technical success and eff...
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| Format: | Article |
| Language: | English |
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Malaysian Orthopaedic Association
2020-03-01
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| Series: | Malaysian Orthopaedic Journal |
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| Online Access: | https://www.morthoj.org/2020/v14n1/embolisation-tumours.pdf |
| _version_ | 1818426958887780352 |
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| author | Wong SJ Urlings T Seng C Leong S Tan BS Tan MH |
| author_facet | Wong SJ Urlings T Seng C Leong S Tan BS Tan MH |
| author_sort | Wong SJ |
| collection | DOAJ |
| description | INTORDUCTION: The management of musculoskeletal tumours is complex and requires a multi-disciplinary approach. Preoperative embolisation can be often employed to reduce intra-operative blood loss and complication rates from surgery. We report our experience with the safety, technical success and efficacy of pre-operative embolisation in musculoskeletal tumours.
MATERIALS AND METHODS: Thirteen consecutive patients who underwent pre-operative embolisation of a musculoskeletal tumour followed by surgical intervention at our institution from May 2012 to January 2016 were enrolled into the study. Patient demographics, tumour characteristics, embolisation techniques and type of surgery were recorded. Technical success of embolisation, amount of blood loss during surgery and transfusion requirements were estimated.
RESULTS: There were five female and eight male patients who underwent pre-operative embolisation during the study period. The age ranged between 16 to 68 years, and the median age was 54. Technical success was achieved in all patients. Mean intra-operative blood loss was 1403ml, with a range of 150ml to 6900ml. Eight patients (62%) required intra-operative blood products of packed red blood cells and fresh frozen plasma. No major complications occurred during embolisation.
CONCLUSION: Pre-operative trans-arterial embolisation is feasible and safe for a variety of large and hypervascular musculoskeletal tumours. Our small series suggests that preoperative embolisation could contribute to the reduction of the intra-operative and post-operative blood product transfusion. It should be considered as a pre-operative adjunct for major tumour resections with a high risk of bleeding. The use of the haemoglobin gap complemented the assessment of perioperative blood loss. |
| first_indexed | 2024-12-14T14:38:06Z |
| format | Article |
| id | doaj.art-5587069724b7406ca2e09d018dd80474 |
| institution | Directory Open Access Journal |
| issn | 1985-2533 2232-111X |
| language | English |
| last_indexed | 2024-12-14T14:38:06Z |
| publishDate | 2020-03-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj.art-5587069724b7406ca2e09d018dd804742022-12-21T22:57:31ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2020-03-01141424810.5704/MOJ.2003.007Pre-Operative Embolisation of Musculoskeletal Tumours - A Single Centre ExperienceWong SJ0Urlings T1Seng C2Leong S3Tan BS4Tan MH5MBChBMDFRCSFFR RCSIFRCRFRCSINTORDUCTION: The management of musculoskeletal tumours is complex and requires a multi-disciplinary approach. Preoperative embolisation can be often employed to reduce intra-operative blood loss and complication rates from surgery. We report our experience with the safety, technical success and efficacy of pre-operative embolisation in musculoskeletal tumours. MATERIALS AND METHODS: Thirteen consecutive patients who underwent pre-operative embolisation of a musculoskeletal tumour followed by surgical intervention at our institution from May 2012 to January 2016 were enrolled into the study. Patient demographics, tumour characteristics, embolisation techniques and type of surgery were recorded. Technical success of embolisation, amount of blood loss during surgery and transfusion requirements were estimated. RESULTS: There were five female and eight male patients who underwent pre-operative embolisation during the study period. The age ranged between 16 to 68 years, and the median age was 54. Technical success was achieved in all patients. Mean intra-operative blood loss was 1403ml, with a range of 150ml to 6900ml. Eight patients (62%) required intra-operative blood products of packed red blood cells and fresh frozen plasma. No major complications occurred during embolisation. CONCLUSION: Pre-operative trans-arterial embolisation is feasible and safe for a variety of large and hypervascular musculoskeletal tumours. Our small series suggests that preoperative embolisation could contribute to the reduction of the intra-operative and post-operative blood product transfusion. It should be considered as a pre-operative adjunct for major tumour resections with a high risk of bleeding. The use of the haemoglobin gap complemented the assessment of perioperative blood loss.https://www.morthoj.org/2020/v14n1/embolisation-tumours.pdfpre-operative embolisationtumoursblood lossdevascularisationinterventional radiology |
| spellingShingle | Wong SJ Urlings T Seng C Leong S Tan BS Tan MH Pre-Operative Embolisation of Musculoskeletal Tumours - A Single Centre Experience Malaysian Orthopaedic Journal pre-operative embolisation tumours blood loss devascularisation interventional radiology |
| title | Pre-Operative Embolisation of Musculoskeletal Tumours - A Single Centre Experience |
| title_full | Pre-Operative Embolisation of Musculoskeletal Tumours - A Single Centre Experience |
| title_fullStr | Pre-Operative Embolisation of Musculoskeletal Tumours - A Single Centre Experience |
| title_full_unstemmed | Pre-Operative Embolisation of Musculoskeletal Tumours - A Single Centre Experience |
| title_short | Pre-Operative Embolisation of Musculoskeletal Tumours - A Single Centre Experience |
| title_sort | pre operative embolisation of musculoskeletal tumours a single centre experience |
| topic | pre-operative embolisation tumours blood loss devascularisation interventional radiology |
| url | https://www.morthoj.org/2020/v14n1/embolisation-tumours.pdf |
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