Endovascular treatment of scalp cirsoid aneurysms
Background: Scalp is the most common site of soft tissue arteriovenous fistulae and surgical excision has been the primary mode of treatment. Endovascular treatment has evolved as an alternative to the surgery. Aims: To evaluate the effectiveness of percutaneous direct-puncture embolization of cirso...
Gespeichert in:
| Veröffentlicht in: | Neurology India 2008-04, Vol.56 (2), p.167-172 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 172 |
|---|---|
| container_issue | 2 |
| container_start_page | 167 |
| container_title | Neurology India |
| container_volume | 56 |
| creator | Gupta, A.K Purkayastha, S Bodhey, N.K Kapilamoorthy, T.R Krishnamoorthy, T Kesavadas, C Thomas, B |
| description | Background: Scalp is the most common site of soft tissue arteriovenous
fistulae and surgical excision has been the primary mode of treatment.
Endovascular treatment has evolved as an alternative to the surgery.
Aims: To evaluate the effectiveness of percutaneous direct-puncture
embolization of cirsoid aneurysms. Materials and Methods: From January
1995 to December 2004, 15 patients underwent percutaneous
direct-puncture embolization of cirsoid aneurysms. Plain X-ray,
computerized tomography scan and complete selective cerebral angiogram
were done in all. Seven patients had forehead lesions, four had
temporal and the remaining four patients had occipital region cirsoid
aneurysms. Lesions were punctured with 21-gauge needle and embolized
with 20-50% cyanoacrylate-lipiodol mixture. Circumferential compression
was applied during injection. Results: Post-embolization angiogram
showed complete obliteration in 11 patients. The remaining four
patients required adjunctive transarterial embolization with polyvinyl
alcohol particles for complete lesion devascularization. Two patients
had post procedure surgery for removal of disfiguring and hard glue
cast. There were no major procedure-related complications. No patients
had any recurrence in the follow-up. Conclusion: Percutaneous direct
puncture embolization of cirsoid aneurysms is a safe and effective
procedure. It can be effectively used as an alternative to surgery.
Sometimes adjunctive transarterial embolization is also required to
deal with deeper feeders. |
| doi_str_mv | 10.4103/0028-3886.41995 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_69403297</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A181704364</galeid><sourcerecordid>A181704364</sourcerecordid><originalsourceid>FETCH-LOGICAL-b479t-49c66b8f68576bd6321f958479aeb98566df5bcd074ee28f881ccea7e66941603</originalsourceid><addsrcrecordid>eNptkUtLxTAQhYMoen2s3Ulx4a6aV9NkKeILBDe6Dmk6kUibXJNW8N-b670qiCQwzMx3hgMHoWOCzznB7AJjKmsmpSitUs0WWpQia44p3UaLn-0e2s_5tbSMEbqL9ogUUhJOF4hchz6-m2znwaRqSmCmEcJURVdla4ZlZX3K0feVCTCnjzzmQ7TjzJDhaFMP0PPN9dPVXf3weHt_dflQd7xVU82VFaKTTsimFV0vGCVONbLsDHRKNkL0rulsj1sOQKUrfqwF04IQihOB2QE6W99dpvg2Q5706LOFYShO4px1wTCjqi3g6R_wNc4pFG-aMqEY4UwUqF5DL2YA7YOLUzL2BQIkM8QAzpfxJZGkxQXnhT__hy-vh9HbfwUXa4FNMecETi-TH0360ATrVVZ6lYZepaG_siqKk43vuRuh_-U34fx66HwcfIAfwiZv9Pcw-PKxxLxhnxeLnSE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>236931436</pqid></control><display><type>article</type><title>Endovascular treatment of scalp cirsoid aneurysms</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Bioline International</source><creator>Gupta, A.K ; Purkayastha, S ; Bodhey, N.K ; Kapilamoorthy, T.R ; Krishnamoorthy, T ; Kesavadas, C ; Thomas, B</creator><creatorcontrib>Gupta, A.K ; Purkayastha, S ; Bodhey, N.K ; Kapilamoorthy, T.R ; Krishnamoorthy, T ; Kesavadas, C ; Thomas, B</creatorcontrib><description>Background: Scalp is the most common site of soft tissue arteriovenous
fistulae and surgical excision has been the primary mode of treatment.
Endovascular treatment has evolved as an alternative to the surgery.
Aims: To evaluate the effectiveness of percutaneous direct-puncture
embolization of cirsoid aneurysms. Materials and Methods: From January
1995 to December 2004, 15 patients underwent percutaneous
direct-puncture embolization of cirsoid aneurysms. Plain X-ray,
computerized tomography scan and complete selective cerebral angiogram
were done in all. Seven patients had forehead lesions, four had
temporal and the remaining four patients had occipital region cirsoid
aneurysms. Lesions were punctured with 21-gauge needle and embolized
with 20-50% cyanoacrylate-lipiodol mixture. Circumferential compression
was applied during injection. Results: Post-embolization angiogram
showed complete obliteration in 11 patients. The remaining four
patients required adjunctive transarterial embolization with polyvinyl
alcohol particles for complete lesion devascularization. Two patients
had post procedure surgery for removal of disfiguring and hard glue
cast. There were no major procedure-related complications. No patients
had any recurrence in the follow-up. Conclusion: Percutaneous direct
puncture embolization of cirsoid aneurysms is a safe and effective
procedure. It can be effectively used as an alternative to surgery.
Sometimes adjunctive transarterial embolization is also required to
deal with deeper feeders.</description><identifier>ISSN: 0028-3886</identifier><identifier>EISSN: 1998-4022</identifier><identifier>DOI: 10.4103/0028-3886.41995</identifier><identifier>PMID: 18688142</identifier><language>eng</language><publisher>India: Medknow Publications on behalf of the Neurological Society of India</publisher><subject>Adolescent ; Adult ; Aneurysms ; Angiogram, cirsoid aneurysms, embolization, percutaneous direct puncture ; Arteriovenous Fistula - diagnostic imaging ; Arteriovenous Fistula - therapy ; Care and treatment ; Cerebral Angiography - methods ; Chemoembolization, Therapeutic - methods ; Child ; Diagnosis ; Enbucrilate - administration & dosage ; Female ; Fistula, Arteriovenous ; Health aspects ; Humans ; Injections ; Male ; Medical imaging ; Middle Aged ; Neurology ; Patients ; Polyvinyl alcohol ; Punctures ; Retrospective Studies ; Risk factors ; Scalp ; Scalp - blood supply ; Tomography, X-Ray Computed - methods ; Veins & arteries ; Young Adult</subject><ispartof>Neurology India, 2008-04, Vol.56 (2), p.167-172</ispartof><rights>Copyright 2008 Neurology India.</rights><rights>COPYRIGHT 2008 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright Medknow Publications Apr-Jun 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b479t-49c66b8f68576bd6321f958479aeb98566df5bcd074ee28f881ccea7e66941603</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18688142$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gupta, A.K</creatorcontrib><creatorcontrib>Purkayastha, S</creatorcontrib><creatorcontrib>Bodhey, N.K</creatorcontrib><creatorcontrib>Kapilamoorthy, T.R</creatorcontrib><creatorcontrib>Krishnamoorthy, T</creatorcontrib><creatorcontrib>Kesavadas, C</creatorcontrib><creatorcontrib>Thomas, B</creatorcontrib><title>Endovascular treatment of scalp cirsoid aneurysms</title><title>Neurology India</title><addtitle>Neurol India</addtitle><description>Background: Scalp is the most common site of soft tissue arteriovenous
fistulae and surgical excision has been the primary mode of treatment.
Endovascular treatment has evolved as an alternative to the surgery.
Aims: To evaluate the effectiveness of percutaneous direct-puncture
embolization of cirsoid aneurysms. Materials and Methods: From January
1995 to December 2004, 15 patients underwent percutaneous
direct-puncture embolization of cirsoid aneurysms. Plain X-ray,
computerized tomography scan and complete selective cerebral angiogram
were done in all. Seven patients had forehead lesions, four had
temporal and the remaining four patients had occipital region cirsoid
aneurysms. Lesions were punctured with 21-gauge needle and embolized
with 20-50% cyanoacrylate-lipiodol mixture. Circumferential compression
was applied during injection. Results: Post-embolization angiogram
showed complete obliteration in 11 patients. The remaining four
patients required adjunctive transarterial embolization with polyvinyl
alcohol particles for complete lesion devascularization. Two patients
had post procedure surgery for removal of disfiguring and hard glue
cast. There were no major procedure-related complications. No patients
had any recurrence in the follow-up. Conclusion: Percutaneous direct
puncture embolization of cirsoid aneurysms is a safe and effective
procedure. It can be effectively used as an alternative to surgery.
Sometimes adjunctive transarterial embolization is also required to
deal with deeper feeders.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aneurysms</subject><subject>Angiogram, cirsoid aneurysms, embolization, percutaneous direct puncture</subject><subject>Arteriovenous Fistula - diagnostic imaging</subject><subject>Arteriovenous Fistula - therapy</subject><subject>Care and treatment</subject><subject>Cerebral Angiography - methods</subject><subject>Chemoembolization, Therapeutic - methods</subject><subject>Child</subject><subject>Diagnosis</subject><subject>Enbucrilate - administration & dosage</subject><subject>Female</subject><subject>Fistula, Arteriovenous</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Injections</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Patients</subject><subject>Polyvinyl alcohol</subject><subject>Punctures</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Scalp</subject><subject>Scalp - blood supply</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Veins & arteries</subject><subject>Young Adult</subject><issn>0028-3886</issn><issn>1998-4022</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>RBI</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkUtLxTAQhYMoen2s3Ulx4a6aV9NkKeILBDe6Dmk6kUibXJNW8N-b670qiCQwzMx3hgMHoWOCzznB7AJjKmsmpSitUs0WWpQia44p3UaLn-0e2s_5tbSMEbqL9ogUUhJOF4hchz6-m2znwaRqSmCmEcJURVdla4ZlZX3K0feVCTCnjzzmQ7TjzJDhaFMP0PPN9dPVXf3weHt_dflQd7xVU82VFaKTTsimFV0vGCVONbLsDHRKNkL0rulsj1sOQKUrfqwF04IQihOB2QE6W99dpvg2Q5706LOFYShO4px1wTCjqi3g6R_wNc4pFG-aMqEY4UwUqF5DL2YA7YOLUzL2BQIkM8QAzpfxJZGkxQXnhT__hy-vh9HbfwUXa4FNMecETi-TH0360ATrVVZ6lYZepaG_siqKk43vuRuh_-U34fx66HwcfIAfwiZv9Pcw-PKxxLxhnxeLnSE</recordid><startdate>20080401</startdate><enddate>20080401</enddate><creator>Gupta, A.K</creator><creator>Purkayastha, S</creator><creator>Bodhey, N.K</creator><creator>Kapilamoorthy, T.R</creator><creator>Krishnamoorthy, T</creator><creator>Kesavadas, C</creator><creator>Thomas, B</creator><general>Medknow Publications on behalf of the Neurological Society of India</general><general>Medknow Publications and Media Pvt. Ltd</general><general>Medknow Publications & Media Pvt. Ltd</general><scope>RBI</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20080401</creationdate><title>Endovascular treatment of scalp cirsoid aneurysms</title><author>Gupta, A.K ; Purkayastha, S ; Bodhey, N.K ; Kapilamoorthy, T.R ; Krishnamoorthy, T ; Kesavadas, C ; Thomas, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b479t-49c66b8f68576bd6321f958479aeb98566df5bcd074ee28f881ccea7e66941603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aneurysms</topic><topic>Angiogram, cirsoid aneurysms, embolization, percutaneous direct puncture</topic><topic>Arteriovenous Fistula - diagnostic imaging</topic><topic>Arteriovenous Fistula - therapy</topic><topic>Care and treatment</topic><topic>Cerebral Angiography - methods</topic><topic>Chemoembolization, Therapeutic - methods</topic><topic>Child</topic><topic>Diagnosis</topic><topic>Enbucrilate - administration & dosage</topic><topic>Female</topic><topic>Fistula, Arteriovenous</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Injections</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Patients</topic><topic>Polyvinyl alcohol</topic><topic>Punctures</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Scalp</topic><topic>Scalp - blood supply</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Veins & arteries</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, A.K</creatorcontrib><creatorcontrib>Purkayastha, S</creatorcontrib><creatorcontrib>Bodhey, N.K</creatorcontrib><creatorcontrib>Kapilamoorthy, T.R</creatorcontrib><creatorcontrib>Krishnamoorthy, T</creatorcontrib><creatorcontrib>Kesavadas, C</creatorcontrib><creatorcontrib>Thomas, B</creatorcontrib><collection>Bioline International</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Neurology India</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, A.K</au><au>Purkayastha, S</au><au>Bodhey, N.K</au><au>Kapilamoorthy, T.R</au><au>Krishnamoorthy, T</au><au>Kesavadas, C</au><au>Thomas, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular treatment of scalp cirsoid aneurysms</atitle><jtitle>Neurology India</jtitle><addtitle>Neurol India</addtitle><date>2008-04-01</date><risdate>2008</risdate><volume>56</volume><issue>2</issue><spage>167</spage><epage>172</epage><pages>167-172</pages><issn>0028-3886</issn><eissn>1998-4022</eissn><abstract>Background: Scalp is the most common site of soft tissue arteriovenous
fistulae and surgical excision has been the primary mode of treatment.
Endovascular treatment has evolved as an alternative to the surgery.
Aims: To evaluate the effectiveness of percutaneous direct-puncture
embolization of cirsoid aneurysms. Materials and Methods: From January
1995 to December 2004, 15 patients underwent percutaneous
direct-puncture embolization of cirsoid aneurysms. Plain X-ray,
computerized tomography scan and complete selective cerebral angiogram
were done in all. Seven patients had forehead lesions, four had
temporal and the remaining four patients had occipital region cirsoid
aneurysms. Lesions were punctured with 21-gauge needle and embolized
with 20-50% cyanoacrylate-lipiodol mixture. Circumferential compression
was applied during injection. Results: Post-embolization angiogram
showed complete obliteration in 11 patients. The remaining four
patients required adjunctive transarterial embolization with polyvinyl
alcohol particles for complete lesion devascularization. Two patients
had post procedure surgery for removal of disfiguring and hard glue
cast. There were no major procedure-related complications. No patients
had any recurrence in the follow-up. Conclusion: Percutaneous direct
puncture embolization of cirsoid aneurysms is a safe and effective
procedure. It can be effectively used as an alternative to surgery.
Sometimes adjunctive transarterial embolization is also required to
deal with deeper feeders.</abstract><cop>India</cop><pub>Medknow Publications on behalf of the Neurological Society of India</pub><pmid>18688142</pmid><doi>10.4103/0028-3886.41995</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-3886 |
| ispartof | Neurology India, 2008-04, Vol.56 (2), p.167-172 |
| issn | 0028-3886 1998-4022 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69403297 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Bioline International |
| subjects | Adolescent Adult Aneurysms Angiogram, cirsoid aneurysms, embolization, percutaneous direct puncture Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - therapy Care and treatment Cerebral Angiography - methods Chemoembolization, Therapeutic - methods Child Diagnosis Enbucrilate - administration & dosage Female Fistula, Arteriovenous Health aspects Humans Injections Male Medical imaging Middle Aged Neurology Patients Polyvinyl alcohol Punctures Retrospective Studies Risk factors Scalp Scalp - blood supply Tomography, X-Ray Computed - methods Veins & arteries Young Adult |
| title | Endovascular treatment of scalp cirsoid aneurysms |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T02%3A01%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Endovascular%20treatment%20of%20scalp%20cirsoid%20aneurysms&rft.jtitle=Neurology%20India&rft.au=Gupta,%20A.K&rft.date=2008-04-01&rft.volume=56&rft.issue=2&rft.spage=167&rft.epage=172&rft.pages=167-172&rft.issn=0028-3886&rft.eissn=1998-4022&rft_id=info:doi/10.4103/0028-3886.41995&rft_dat=%3Cgale_proqu%3EA181704364%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=236931436&rft_id=info:pmid/18688142&rft_galeid=A181704364&rfr_iscdi=true |