Preoperative Embolization of Vertebral Metastasis: Comprehensive Review of the Literature

The aim of this review is to determine the safety and efficacy of pre-operative spinal metastases embolization procedures. Two reviewers independently conducted the literature search (on MEDLINE databases), including in the review of all the studies that used pre-operative TAE to treat spinal metast...

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Main Authors: Eliodoro Faiella, Domiziana Santucci, Daniele Vertulli, Fabrizio Russo, Gianluca Vadalà, Rocco Papalia, Bruno Beomonte Zobel, Vincenzo Denaro, Rosario Francesco Grasso
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Diseases
Subjects:
Online Access:https://www.mdpi.com/2079-9721/11/3/109
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author Eliodoro Faiella
Domiziana Santucci
Daniele Vertulli
Fabrizio Russo
Gianluca Vadalà
Rocco Papalia
Bruno Beomonte Zobel
Vincenzo Denaro
Rosario Francesco Grasso
author_facet Eliodoro Faiella
Domiziana Santucci
Daniele Vertulli
Fabrizio Russo
Gianluca Vadalà
Rocco Papalia
Bruno Beomonte Zobel
Vincenzo Denaro
Rosario Francesco Grasso
author_sort Eliodoro Faiella
collection DOAJ
description The aim of this review is to determine the safety and efficacy of pre-operative spinal metastases embolization procedures. Two reviewers independently conducted the literature search (on MEDLINE databases), including in the review of all the studies that used pre-operative TAE to treat spinal metastases. Twelve articles on pre-operative spinal metastases embolization were selected. Most of the studies demonstrated the low complication rate of pre-operative embolization. The most important study strength is that there are very few reviews in the literature with the setting on pre-operative vertebral metastases embolization. A limitation of the review is that the studies included were predominately retrospective case-control studies, increasing the risk of bias in the primary data. Plus, divergent surgical and embolization procedures were performed in the studies, causing a potential risk of bias in the pooled results. We can conclude that preoperative arterial embolization of vertebral metastases is a safe, well-tolerated technique that reduces surgical blood loss and facilitates surgical tumor resection.
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spelling doaj.art-af38391f6bbd4a56b43d44a3ede06b632023-11-19T10:15:24ZengMDPI AGDiseases2079-97212023-08-0111310910.3390/diseases11030109Preoperative Embolization of Vertebral Metastasis: Comprehensive Review of the LiteratureEliodoro Faiella0Domiziana Santucci1Daniele Vertulli2Fabrizio Russo3Gianluca Vadalà4Rocco Papalia5Bruno Beomonte Zobel6Vincenzo Denaro7Rosario Francesco Grasso8Department of Radiology, University of Rome “Campus Bio-Medico”, Via Alvaro del Portillo, 21, 00128 Rome, ItalyDepartment of Radiology, University of Rome “Campus Bio-Medico”, Via Alvaro del Portillo, 21, 00128 Rome, ItalyDepartment of Radiology, University of Rome “Campus Bio-Medico”, Via Alvaro del Portillo, 21, 00128 Rome, ItalyDepartment of Orthopaedics, University of Rome “Campus Bio-Medico”, Via Alvaro del Portillo, 21, 00128 Rome, ItalyDepartment of Orthopaedics, University of Rome “Campus Bio-Medico”, Via Alvaro del Portillo, 21, 00128 Rome, ItalyDepartment of Orthopaedics, University of Rome “Campus Bio-Medico”, Via Alvaro del Portillo, 21, 00128 Rome, ItalyDepartment of Radiology, University of Rome “Campus Bio-Medico”, Via Alvaro del Portillo, 21, 00128 Rome, ItalyDepartment of Orthopaedics, University of Rome “Campus Bio-Medico”, Via Alvaro del Portillo, 21, 00128 Rome, ItalyDepartment of Radiology, University of Rome “Campus Bio-Medico”, Via Alvaro del Portillo, 21, 00128 Rome, ItalyThe aim of this review is to determine the safety and efficacy of pre-operative spinal metastases embolization procedures. Two reviewers independently conducted the literature search (on MEDLINE databases), including in the review of all the studies that used pre-operative TAE to treat spinal metastases. Twelve articles on pre-operative spinal metastases embolization were selected. Most of the studies demonstrated the low complication rate of pre-operative embolization. The most important study strength is that there are very few reviews in the literature with the setting on pre-operative vertebral metastases embolization. A limitation of the review is that the studies included were predominately retrospective case-control studies, increasing the risk of bias in the primary data. Plus, divergent surgical and embolization procedures were performed in the studies, causing a potential risk of bias in the pooled results. We can conclude that preoperative arterial embolization of vertebral metastases is a safe, well-tolerated technique that reduces surgical blood loss and facilitates surgical tumor resection.https://www.mdpi.com/2079-9721/11/3/109angiographyembolizationinterventional radiologysecondary vertebral lesionstranscatheter arterial embolization
spellingShingle Eliodoro Faiella
Domiziana Santucci
Daniele Vertulli
Fabrizio Russo
Gianluca Vadalà
Rocco Papalia
Bruno Beomonte Zobel
Vincenzo Denaro
Rosario Francesco Grasso
Preoperative Embolization of Vertebral Metastasis: Comprehensive Review of the Literature
Diseases
angiography
embolization
interventional radiology
secondary vertebral lesions
transcatheter arterial embolization
title Preoperative Embolization of Vertebral Metastasis: Comprehensive Review of the Literature
title_full Preoperative Embolization of Vertebral Metastasis: Comprehensive Review of the Literature
title_fullStr Preoperative Embolization of Vertebral Metastasis: Comprehensive Review of the Literature
title_full_unstemmed Preoperative Embolization of Vertebral Metastasis: Comprehensive Review of the Literature
title_short Preoperative Embolization of Vertebral Metastasis: Comprehensive Review of the Literature
title_sort preoperative embolization of vertebral metastasis comprehensive review of the literature
topic angiography
embolization
interventional radiology
secondary vertebral lesions
transcatheter arterial embolization
url https://www.mdpi.com/2079-9721/11/3/109
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