Utility of spinal angiography and arterial embolization in patients undergoing CT guided alcohol injection of aggressive vertebral hemangiomas.
Purpose: The purpose of this study is to evaluate the role of spinal angiography and arterial embolization in avoiding spinal cord ischemia in patients undergoing CT-guided alcohol injection of aggressive vertebral hemangiomas. Methods: In this retrospective study, patients with vertebral hemangioma...
| Published in: | Neuroradiology Vol. 63; no. 11; pp. 1935 - 1946 |
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| Main Authors: | , , , , , , , , |
| Format: | diagnostic images pictorial research tables/charts Journal Article |
| Published: |
Springer Nature
Nov2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153124026&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153124026 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00283940 NYZ jtl: Neuroradiology issn: 00283940 maglogo: N pubinfo: dt: Nov2021 vid: 63 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 153124026 152054626 153124026 153124026 10.1007/s00234-021-02788-7 153124026 ppf: 1935 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Utility of spinal angiography and arterial embolization in patients undergoing CT guided alcohol injection of aggressive vertebral hemangiomas. aug: au: Srinivasan, Gopinath Moses, Vinu Padmanabhan, Aswin Ahmed, Munawwar Keshava, Shyamkumar N. Krishnan, Venkatesh Joseph, Baylis Vivek Raju, Krisna Prabhu Rajshekhar, Vedantam affil: Radiology, Christian Medical College, 632004, Vellore, India sug: subj: Vertebral Artery Pathology Spine Angiography Embolization, Therapeutic Alcohols Administration and Dosage Injections Hemangioma Drug Therapy Neuroradiography Treatment Outcomes Human Retrospective Design Patient Safety ab: Purpose: The purpose of this study is to evaluate the role of spinal angiography and arterial embolization in avoiding spinal cord ischemia in patients undergoing CT-guided alcohol injection of aggressive vertebral hemangiomas. Methods: In this retrospective study, patients with vertebral hemangioma who underwent CT-guided direct alcohol injection between January 2007 and October 2018 were identified. Of 28 such patients, 26 had neurological deficits, and 2 had only back pain or radiculopathy. Direct alcohol injection without prior arterial embolization was done in 17 patients. Direct alcohol injection with prior arterial embolization was done in 11 patients. Clinical outcome was assessed immediately after the intervention and at follow-up. Results: Three patients, who underwent alcohol injection without trans-arterial embolization, had worsening of neurological deficits in the post procedure period due to spinal cord ischemia. No complications related to spinal cord ischemia were noted in the embolization group. There was no significant difference in the outcomes between the two groups if the three patients with complications are excluded (p = 0.34). Conclusion: While CT-guided direct alcohol injection is effective in the management of symptomatic and aggressive vertebral hemangiomas, spinal angiography and trans-arterial embolization of the blood supply to the vertebral body hemangioma, prior to the direct transpedicular alcohol embolization of the lesion, improves the safety of the procedure. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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