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Title: Preoperative Direct Puncture Embolization of Advanced Juvenile Nasopharyngeal Angiofibroma in Combination with Transarterial Embolization: An Analysis of 22 Consecutive Patients

Abstract

ObjectiveThis study was designed to evaluate the clinical application of preoperative auxiliary embolization for juvenile nasopharyngeal angiofibroma (JNA) by direct puncture embolization (DPE) of the tumor in combination with transarterial embolization (TAE). The study included 22 patients. An 18-gauge needle was used to puncture directly into the tumor, and 20-25 % N-butyl cyanoacrylate was injected under the guidance of fluoroscopy after confirming the placement of the needle into the JNA and no leaking into the surrounding tissue. Tumors were obstructed later via TAE. The supplying arteries of JNA were from branches of the internal carotid and external carotid arteries. Control angiography showed the obliteration of contrast stain in the entire tumor mass and the distal supplying arteries disappeared after DPE in combination with TAE. Surgical resection was performed within 4 days after embolization and none of the patients required blood transfusion. The use of DPE in combination with TAE was a safe, feasible, and efficacious method. It can devascularize effectively the JNAs and reduce intraoperative bleeding when JNAs are extirpated.

Authors:
 [1]
  1. Shanghai Jiao Tong University School of Medicine, Department of Radiology, Ninth People's Hospital (China)
Publication Date:
OSTI Identifier:
22156505
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 36; Journal Issue: 1; Other Information: Copyright (c) 2013 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2012 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BLOOD; CAROTID ARTERIES; CONTROL; FLUOROSCOPY; JUVENILES; PATIENTS; SURGERY; TRANSFUSIONS

Citation Formats

Lv Mingming, E-mail: lvmingming001@163.com, Fan, Xin-dong, Su Lixin, E-mail: sulixin1975@126.com, and Chen Dong, E-mail: chenjsun@public8.sta.net.cn. Preoperative Direct Puncture Embolization of Advanced Juvenile Nasopharyngeal Angiofibroma in Combination with Transarterial Embolization: An Analysis of 22 Consecutive Patients. United States: N. p., 2013. Web. doi:10.1007/S00270-012-0404-2.
Lv Mingming, E-mail: lvmingming001@163.com, Fan, Xin-dong, Su Lixin, E-mail: sulixin1975@126.com, & Chen Dong, E-mail: chenjsun@public8.sta.net.cn. Preoperative Direct Puncture Embolization of Advanced Juvenile Nasopharyngeal Angiofibroma in Combination with Transarterial Embolization: An Analysis of 22 Consecutive Patients. United States. https://doi.org/10.1007/S00270-012-0404-2
Lv Mingming, E-mail: lvmingming001@163.com, Fan, Xin-dong, Su Lixin, E-mail: sulixin1975@126.com, and Chen Dong, E-mail: chenjsun@public8.sta.net.cn. 2013. "Preoperative Direct Puncture Embolization of Advanced Juvenile Nasopharyngeal Angiofibroma in Combination with Transarterial Embolization: An Analysis of 22 Consecutive Patients". United States. https://doi.org/10.1007/S00270-012-0404-2.
@article{osti_22156505,
title = {Preoperative Direct Puncture Embolization of Advanced Juvenile Nasopharyngeal Angiofibroma in Combination with Transarterial Embolization: An Analysis of 22 Consecutive Patients},
author = {Lv Mingming, E-mail: lvmingming001@163.com and Fan, Xin-dong and Su Lixin, E-mail: sulixin1975@126.com and Chen Dong, E-mail: chenjsun@public8.sta.net.cn},
abstractNote = {ObjectiveThis study was designed to evaluate the clinical application of preoperative auxiliary embolization for juvenile nasopharyngeal angiofibroma (JNA) by direct puncture embolization (DPE) of the tumor in combination with transarterial embolization (TAE). The study included 22 patients. An 18-gauge needle was used to puncture directly into the tumor, and 20-25 % N-butyl cyanoacrylate was injected under the guidance of fluoroscopy after confirming the placement of the needle into the JNA and no leaking into the surrounding tissue. Tumors were obstructed later via TAE. The supplying arteries of JNA were from branches of the internal carotid and external carotid arteries. Control angiography showed the obliteration of contrast stain in the entire tumor mass and the distal supplying arteries disappeared after DPE in combination with TAE. Surgical resection was performed within 4 days after embolization and none of the patients required blood transfusion. The use of DPE in combination with TAE was a safe, feasible, and efficacious method. It can devascularize effectively the JNAs and reduce intraoperative bleeding when JNAs are extirpated.},
doi = {10.1007/S00270-012-0404-2},
url = {https://www.osti.gov/biblio/22156505}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 1,
volume = 36,
place = {United States},
year = {Fri Feb 15 00:00:00 EST 2013},
month = {Fri Feb 15 00:00:00 EST 2013}
}