Major Complications of Percutaneous Embolization of Skull-Base Tumors
The technique of direct intratumoral injection of permanent liquid polymerizing agent was initially described in 1994 and has evolved significantly with experience. We report complications that occurred in two patients during injection of Histoacryl and offer suggestions to prevent such complication...
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| Veröffentlicht in: | American journal of neuroradiology : AJNR 1999-01, Vol.20 (1), p.179-181 |
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| container_title | American journal of neuroradiology : AJNR |
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| creator | Casasco, Alfredo Houdart, Emmanuel Biondi, Alessandra Jhaveri, Harish S Herbreteau, Denis Aymard, Armand Merland, Jean-Jacques |
| description | The technique of direct intratumoral injection of permanent liquid polymerizing agent was initially described in 1994 and has evolved significantly with experience. We report complications that occurred in two patients during injection of Histoacryl and offer suggestions to prevent such complications in the future. In one patient, the glue settled in the right middle cerebral artery; in the second, the glue entered the left ophthalmic artery through a collateral branch. Although the fundamental injection technique has not changed, we suggest additional precautions and modifications to make this procedure a safer and more valuable element in the overall management of patients with difficult skull-base tumors. |
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We report complications that occurred in two patients during injection of Histoacryl and offer suggestions to prevent such complications in the future. In one patient, the glue settled in the right middle cerebral artery; in the second, the glue entered the left ophthalmic artery through a collateral branch. Although the fundamental injection technique has not changed, we suggest additional precautions and modifications to make this procedure a safer and more valuable element in the overall management of patients with difficult skull-base tumors.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>PMID: 9974079</identifier><identifier>CODEN: AAJNDL</identifier><language>eng</language><publisher>Oak Brook, IL: Am Soc Neuroradiology</publisher><subject>Adolescent ; Angiofibroma - diagnostic imaging ; Angiofibroma - therapy ; Biological and medical sciences ; Cerebral Arteries - diagnostic imaging ; Diseases of the nervous system ; Embolization, Therapeutic - adverse effects ; Enbucrilate - administration & dosage ; Humans ; Injections - adverse effects ; Male ; Medical Errors ; Medical sciences ; Nasopharyngeal Neoplasms - diagnostic imaging ; Nasopharyngeal Neoplasms - therapy ; Ophthalmic Artery - diagnostic imaging ; Radiography ; Radiotherapy. 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We report complications that occurred in two patients during injection of Histoacryl and offer suggestions to prevent such complications in the future. In one patient, the glue settled in the right middle cerebral artery; in the second, the glue entered the left ophthalmic artery through a collateral branch. Although the fundamental injection technique has not changed, we suggest additional precautions and modifications to make this procedure a safer and more valuable element in the overall management of patients with difficult skull-base tumors.</description><subject>Adolescent</subject><subject>Angiofibroma - diagnostic imaging</subject><subject>Angiofibroma - therapy</subject><subject>Biological and medical sciences</subject><subject>Cerebral Arteries - diagnostic imaging</subject><subject>Diseases of the nervous system</subject><subject>Embolization, Therapeutic - adverse effects</subject><subject>Enbucrilate - administration & dosage</subject><subject>Humans</subject><subject>Injections - adverse effects</subject><subject>Male</subject><subject>Medical Errors</subject><subject>Medical sciences</subject><subject>Nasopharyngeal Neoplasms - diagnostic imaging</subject><subject>Nasopharyngeal Neoplasms - therapy</subject><subject>Ophthalmic Artery - diagnostic imaging</subject><subject>Radiography</subject><subject>Radiotherapy. 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We report complications that occurred in two patients during injection of Histoacryl and offer suggestions to prevent such complications in the future. In one patient, the glue settled in the right middle cerebral artery; in the second, the glue entered the left ophthalmic artery through a collateral branch. Although the fundamental injection technique has not changed, we suggest additional precautions and modifications to make this procedure a safer and more valuable element in the overall management of patients with difficult skull-base tumors.</abstract><cop>Oak Brook, IL</cop><pub>Am Soc Neuroradiology</pub><pmid>9974079</pmid><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0195-6108 |
| ispartof | American journal of neuroradiology : AJNR, 1999-01, Vol.20 (1), p.179-181 |
| issn | 0195-6108 1936-959X |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adolescent Angiofibroma - diagnostic imaging Angiofibroma - therapy Biological and medical sciences Cerebral Arteries - diagnostic imaging Diseases of the nervous system Embolization, Therapeutic - adverse effects Enbucrilate - administration & dosage Humans Injections - adverse effects Male Medical Errors Medical sciences Nasopharyngeal Neoplasms - diagnostic imaging Nasopharyngeal Neoplasms - therapy Ophthalmic Artery - diagnostic imaging Radiography Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Skull Base Neoplasms - therapy |
| title | Major Complications of Percutaneous Embolization of Skull-Base Tumors |
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