title: Strategic and Technical Considerations for the Endovascular Embolization of Intracranial Meningiomas.
abstract: Endovascular embolization is a frequently used adjunct to operative resection of meningiomas. Embolization may decrease intraoperative blood loss, operative time, and surgical difficulty associated with resection. The specific clinical applications of this treatment have not been defined clearly. Procedural indications, preferred embolic agent, and latency until tumor resection all differ across operators. It is clear that strategic patient selection, comprehensive anatomic understanding, and sound operative technique are critical to the success of the embolization procedure. This article reviews the management and technical considerations associated with preoperative meningioma embolization.
authors.affiliation: Department of Neurosurgery, University of Louisville School of Medicine, 550 S. Jackson St., Louisville, KY 40204, USA.
authors.forename: Robert F
authors.initials: RF
authors.lastname: James
authors.affiliation: Department of Neurosurgery, University of Southern California Keck School of Medicine, 1520 San Pablo Street, Suite 3800, Los Angeles, CA 90089, USA.
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Kramer
authors.affiliation: Department of Neurosurgery, University of Louisville School of Medicine, 550 S. Jackson St., Louisville, KY 40204, USA.
authors.forename: Paul S
authors.initials: PS
authors.lastname: Page
authors.affiliation: Department of Radiology and Medical Imaging, University of Virginia Health System, 1215 Lee St., Charlottesville, VA 22908, USA.
authors.forename: John R
authors.initials: JR
authors.lastname: Gaughen
authors.affiliation: Department of Neurosurgery, University of Oklahoma School of Medicine, 660 Parrington Oval, Norman, OK 73019, USA.
authors.forename: Lacey B
authors.initials: LB
authors.lastname: Martin
authors.affiliation: Department of Neurosurgery, University of Southern California Keck School of Medicine, 1520 San Pablo Street, Suite 3800, Los Angeles, CA 90089, USA. Electronic address: William.Mack@med.usc.edu.
authors.forename: William J
authors.initials: WJ
authors.lastname: Mack
mesh_terms: D001921:Brain / Q000098:blood supply / Q000601:surgery; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods*; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008577:Meningeal Neoplasms / Q000098:blood supply / Q000628:therapy*; D008579:Meningioma / Q000098:blood supply / Q000628:therapy*; D011300:Preoperative Care; D016896:Treatment Outcome
keywords: Dangerous anastomoses; Embolization; Endovascular; Meningioma; Technique