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Transarterial embolization of vertebral hemangioma.

Publication ,  Journal Article
Smith, TP; Koci, T; Mehringer, CM; Tsai, FY; Fraser, KW; Dowd, CF; Higashida, RT; Halbach, VV; Hieshima, GB
Published in: J Vasc Interv Radiol
1993

PURPOSE: The authors retrospectively reviewed their 4-year clinical experience to determine the role of transarterial embolization in the treatment of symptomatic vertebral hemangioma. PATIENTS AND METHODS: Eight patients (age range, 12-56 years) underwent a total of 10 embolization procedures; one patient underwent three procedures. The lesions were located between T-5 and L-5, and all patients presented with pain and symptoms referable to the lower extremities. RESULTS: Embolization was technically successful in all patients, and no complications were encountered. Six of eight patients underwent surgery within 48 hours of embolization; four of the six showed significant clinical improvement immediately after surgery and on follow-up (average, 34 months). Two patients did not improve postoperatively. Two patients initially underwent embolization as the sole therapy. The first refused surgery and did not improve clinically; the second underwent two embolization procedures without clinical improvement and eventually underwent a third followed by surgery, which resulted in clinical improvement. All patients were hemodynamically stable during surgery, and blood loss was not problematic in any patient. CONCLUSIONS: Overall, surgery was an effective treatment for symptomatic vertebral hemangioma and the authors conclude that transarterial embolization of vertebral hemangioma is a safe and efficacious adjunctive procedure to such surgery. However, embolization was not as promising as a sole therapeutic modality in this small group of patients.

Published In

J Vasc Interv Radiol

DOI

ISSN

1051-0443

Publication Date

1993

Volume

4

Issue

5

Start / End Page

681 / 685

Location

United States

Related Subject Headings

  • Thoracic Vertebrae
  • Spinal Neoplasms
  • Retrospective Studies
  • Radiography, Interventional
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Lumbar Vertebrae
  • Humans
  • Hemangioma
 

Citation

APA
Chicago
ICMJE
MLA
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Smith, T. P., Koci, T., Mehringer, C. M., Tsai, F. Y., Fraser, K. W., Dowd, C. F., … Hieshima, G. B. (1993). Transarterial embolization of vertebral hemangioma. J Vasc Interv Radiol, 4(5), 681–685. https://doi.org/10.1016/s1051-0443(93)71948-x
Smith, T. P., T. Koci, C. M. Mehringer, F. Y. Tsai, K. W. Fraser, C. F. Dowd, R. T. Higashida, V. V. Halbach, and G. B. Hieshima. “Transarterial embolization of vertebral hemangioma.J Vasc Interv Radiol 4, no. 5 (1993): 681–85. https://doi.org/10.1016/s1051-0443(93)71948-x.
Smith TP, Koci T, Mehringer CM, Tsai FY, Fraser KW, Dowd CF, et al. Transarterial embolization of vertebral hemangioma. J Vasc Interv Radiol. 1993;4(5):681–5.
Smith, T. P., et al. “Transarterial embolization of vertebral hemangioma.J Vasc Interv Radiol, vol. 4, no. 5, 1993, pp. 681–85. Pubmed, doi:10.1016/s1051-0443(93)71948-x.
Smith TP, Koci T, Mehringer CM, Tsai FY, Fraser KW, Dowd CF, Higashida RT, Halbach VV, Hieshima GB. Transarterial embolization of vertebral hemangioma. J Vasc Interv Radiol. 1993;4(5):681–685.
Journal cover image

Published In

J Vasc Interv Radiol

DOI

ISSN

1051-0443

Publication Date

1993

Volume

4

Issue

5

Start / End Page

681 / 685

Location

United States

Related Subject Headings

  • Thoracic Vertebrae
  • Spinal Neoplasms
  • Retrospective Studies
  • Radiography, Interventional
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Lumbar Vertebrae
  • Humans
  • Hemangioma