Selective arterial embolization of 36 aneurysmal bone cysts of the skeleton with N-2-butyl cyanoacrylate View Full Text


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Article Info

DATE

2009-08-08

AUTHORS

Giuseppe Rossi, Eugenio Rimondi, Tommaso Bartalena, Antonio Gerardi, Marco Alberghini, Eric Lodwijk Staals, Costantino Errani, Giuseppe Bianchi, Angelo Toscano, Mario Mercuri, Daniel Vanel

ABSTRACT

BackgroundAneurysmal bone cyst (ABC) is a lytic benign bone lesion representing about 1% of all primary bone tumors. The lesion causes pain and swelling, which are generally present for less than 3 months.MethodsFrom April 2003 to April 2008 36 patients affected by aneurysmal bone cysts were treated by selective arterial embolization with N-2-butyl cyanoacrylate. The study population comprised 20 male and 16 female patients with an age range of 3.3–60.8 years. Nine lesions were localized in the appendicular skeleton (1 in the upper and 8 in the lower limb), 4 in the thoracic cage (1 rib lesion and 3 scapular lesions), 17 in the pelvis and 6 in the spine (1 thoracic and 5 sacral localizations).Results A total of 55 embolizations were performed: in 22 cases (61%) only one embolization was needed, whilst two embolizations were necessary in 9 cases (25%) and 3 in the remaining 5 patients (14%). The treatment was effective in 32 patients (94% ): follow-up was 0.9–5 years. In one patient, previously surgically treated, only the cyanoacrylate embolization turned out to be useful for healing the lesion. Another 7 patients underwent surgery during the study period. In the 55 procedures we performed we had 3 complications (5%): 2 cases of skin necrosis and 1 of transient paresis.ConclusionsArterial embolization with cyanoacrylate may be the treatment of choice for aneurysmal bone cysts. Embolization is a less invasive, lower cost, simpler procedure than surgery and is easily repeatable. More... »

PAGES

161

References to SciGraph publications

  • 1992-11. Selective arterial embolization in the treatment of aneurysmal bone cyst and angioma of bone in SKELETAL RADIOLOGY
  • 2003-04-12. Aneurysmal bone cysts of the sacrum in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2002-05-20. Aneurysmal Bone Cysts: Treatment with Direct Percutaneous Ethibloc Injection. Long-Term Results in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • 2003-07-11. Intralesional Ethibloc injections in primary aneurysmal bone cysts: an efficient and safe treatment in SKELETAL RADIOLOGY
  • 2006-08-26. Modern concepts of primary aneurysmal bone cyst in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00256-009-0757-z

    DOI

    http://dx.doi.org/10.1007/s00256-009-0757-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1008276897

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/19669138


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