Preoperative embolization in spinal and pelvic metastases View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-05

AUTHORS

Reiner J. Wirbel, Reinhard Roth, Michael Schulte, Bernd Kramann, Wolf Mutschler

ABSTRACT

The role of preoperative embolization should be evaluated for the surgical treatment of spinal and pelvic metastases. Selective embolization was perfomed in 32 patients (19 men, 13 women; mean age 63.4 years) before surgery by anterior resection of spinal metastases (n = 21) or pelvic metastases (n = 11). Evaluation parameters consisted of the intraoperative blood loss, the need for blood replacement, and the operating time. There was a significant difference in blood loss and transfusion requirements in the spinal group (P = 0.02) as well as in the pelvic group (P = 0.05) compared to a nonembolized control group of spinal (n = 20) and pelvic (n = 10) metastases. The operating time in the embolized group was shorter, but the difference was not significant. Surgical revision was required in two cases in the embolized spinal group owing to necrosis of the psoas muscle. No neurological deficit was observed that could be attributed to the embolization procedure. Preoperative embolization is thus a suitable method for reducing intraoperative blood loss and transfusion requirements in hypervascularized spinal and pelvic metastases. More... »

PAGES

253-257

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00776-005-0900-1

DOI

http://dx.doi.org/10.1007/s00776-005-0900-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1046425597

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15928886


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206 Department of Trauma Surgery, Diakonissen-Hospital, Rotenburg-Wümme, Germany
207 rdf:type schema:Organization
208 grid-institutes:grid.492206.b schema:alternateName Department of Trauma, Hand and Reconstructive Surgery, University Hospital, D-66421, Homburg/Saar, Germany
209 schema:name Department of Trauma, Hand and Reconstructive Surgery, University Hospital, D-66421, Homburg/Saar, Germany
210 rdf:type schema:Organization
211 grid-institutes:grid.5252.0 schema:alternateName Department of Surgery, Ludwig Maximilian University, Munich, Germany
212 schema:name Department of Surgery, Ludwig Maximilian University, Munich, Germany
213 rdf:type schema:Organization
 




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