[Embolization of supratentorial angiomas. Own experience].
Embolization of intracerebral angiomas has been performed in our Center since 1995. Main criteria for the treatment include bleeding into the central nervous system (CNS), epilepsy, and other neurological symptoms.


METHODS
CNS angiography and angioma location were performed using the Seldinger technique. A highly selective microcatheterization of particular angioma feeders was carried out then in the DVM system. After a radiological confirmation of the precise location of the catheter end in the angioma, embolization of the angioma feeders and nidus was performed with the Histoacryl-Lipiodol mixture.


RESULTS
One hundred endovascular treatment procedures were performed in 58 patients with cerebral angiomas of IV and V grade according to the Spetzler-Martin scale. The total angioma occlusion was attained in 35 patients (63.3%), and partial--in 18 (31.8%) cases. There were four early deaths (6.8%) and one late (1.8%), not related to the surgical procedure.


CONCLUSIONS
Embolization is a new and effective method of treatment of extensive supratentorial angiomas.
Kolasa
Paweł
P
Oddziału Neurochirurgii, Zakładu Radiologii, Specjalistycznego Szpitala im. M. Kopernika w Łodzi.
Kaurzel
Zbigniew
Z
D000293:Adolescent; D000328:Adult; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015173:Supratentorial Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed
Embolizacja naczyniaków nadnamiotowych mózgu. Doświadczenia własne.