Use of preoperative vascular embolisation in spinal metastasis resection.
Preoperative selective embolisation was carried out on 17 patients with spinal metastases from various primary tumours. There was a significant reduction in the blood loss (2088 ml) and infusion volume requirement (3500 ml) and more favourable postoperative haemoglobin (Hb) development compared with the non-embolised but otherwise identical control group. The reduced intraoperative bleeding manifested itself in the form of greater clarity and a less complicated intraoperative course. Particularly with a dorsal approach, the reduced bleeding permitted more exact preparation and more extensive tumour resection. Preoperative embolisation is thus a valuable aid in spinal metastasis resection. Given suitable indications and exact positioning of the embolising material, no significant complications should arise. The method as a whole calls for close collaboration between interventional radiologists and spinal orthopaedists.
Hess
T
T
Orthopädische Universitäts und Poliklinik, Homburg, Germany.
Kramann
B
B
Schmidt
E
E
Rupp
S
S
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D016022:Case-Control Studies; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D012189:Retrospective Studies; D013125:Spinal Neoplasms / Q000556:secondary* / Q000601:surgery* / Q000628:therapy; D013904:Thoracic Vertebrae