Twenty Years of Experience in Juvenile Nasopharyngeal Angiofibroma (JNA) Preoperative Endovascular Embolization: An Effective Procedure with a Low Complications Rate

被引：9

作者：

Giorgianni, Andrea ^{[1
]}

Molinaro, Stefano ^{[1
]}

Agosti, Edoardo ^{[2
]}

Terrana, Alberto Vito ^{[1
]}

Vizzari, Francesco Alberto ^{[1
]}

Arosio, Alberto Daniele ^{[3
,4
]}

Pietrobon, Giacomo ^{[5
]}

Volpi, Luca ^{[6
,7
]}

Turri-Zanoni, Mario ^{[3
,8
]}

Craparo, Giuseppe ^{[9
]}

Piacentino, Filippo ^{[10
]}

Castelnuovo, Paolo ^{[3
,4
,8
]}

Baruzzi, Fabio Massimo ^{[1
]}

Bignami, Maurizio ^{[6
,7
]}

机构：

[1] ASST Sette Laghi Circolo Hosp, Neuroradiol Unit, I-21100 Varese, Italy

[2] Univ Insubria, Dept Biotechnol & Life Sci, Div Neurosurg, I-21100 Varese, Italy

[3] Univ Insubria, Dept Biotechnol & Life Sci, Div Otorhinolaryngol, I-21100 Varese, Italy

[4] ASST Sette Laghi Circolo Hosp, Dept Surg Special, Div Otorhinolaryngol, I-21100 Varese, Italy

[5] European Inst Oncol IRCCS, Dept Head & Neck Surg & Otorhinolaryngol, I-20122 Milan, Italy

[6] Univ Insubria, Dept Otorhinolaryngol, ASST Lariana, I-22100 Como, Italy

[7] Univ Insubria, Dept Surg, ASST Lariana, I-22100 Como, Italy

[8] Univ Insubria, Head & Neck Surg & Forens Dissect Res Ctr HNS&FDR, Dept Biotechnol & Life Sci, I-21100 Varese, Italy

[9] ARNAS Civ Hosp, Diagnost & Intervent Neuroradiol Unit, I-90127 Palermo, Italy

[10] ASST Sette Laghi Circolo Hosp, Radiol Unit, I-21100 Varese, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2021年 / 10卷 / 17期

关键词：

JNA; embolization; interventional neuroradiology; HNS; INTERNAL CAROTID-ARTERY; DEVASCULARIZATION; MANAGEMENT; OCCLUSION;

D O I：

10.3390/jcm10173926

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Juvenile nasopharyngeal angiofibroma (JNA) is a benign tumor of the nasal cavity that predominantly affects young boys. Surgical removal remains the gold standard for the management of this disease. Preoperative intra-arterial embolization (PIAE) is useful for reductions in intraoperative blood loss and surgical complications. In our series of 79 patients who underwent preoperative embolization from 1999 to 2020, demographics, procedural aspects, surgical management and follow-up outcome were analyzed. Embolization was performed in a similar fashion for all patients, with a superselective microcatheterization of external carotid artery (ECA) feeders and an injection of polyvinyl alcohol (PVA) particles, followed, in some cases, by the deployment of coils . Procedural success was reached in 100% of cases, with no complications such as bleeding or thromboembolic occlusion, and surgical intraoperative blood loss was significantly decreased. In conclusion, PIAE is a safe and effective technique in JNA treatment, minimizing intraoperative bleeding.

引用

页数：10

共 4 条

[1] Preoperative Embolization to Improve the Surgical Management and Outcome of Juvenile Nasopharyngeal Angiofibroma (JNA) in a Single Center: 10-Year Experience
J. Lutz
M. Holtmannspötter
W. Flatz
A. Meier-Bender
A. Berghaus
H. Brückmann
P. Zengel
Clinical Neuroradiology, 2016, 26 : 405 - 413
[2] Preoperative Embolization to Improve the Surgical Management and Outcome of Juvenile Nasopharyngeal Angiofibroma (JNA) in a Single Center: 10-Year Experience
Lutz, J.
Holtmannspotter, M.
Flatz, W.
Meier-Bender, A.
Berghaus, A.
Brueckmann, H.
Zengel, P.
CLINICAL NEURORADIOLOGY, 2016, 26 (04) : 405 - 413
[3] Successful retrieval of ethylene vinyl alcohol (EVOH) from the left middle cerebral artery during preoperative embolization of a juvenile nasopharyngeal angiofibroma (JNA)
Bah, Momodou G.
Wilseck, Zachary M.
Lin, Leanne Y.
Chaudhary, Neeraj
Gemmete, Joseph J.
INTERVENTIONAL NEURORADIOLOGY, 2023,
[4] DUODENAL SWITCH WITH OMEGA LOOP TECHNIQUE AN EFFECTIVE WEIGHT LOSS PROCEDURE WITH A LOW COMPLICATION RATE AND PERFORMED CORRECTLY-OUR EXPERIENCE WITH 47 PATIENTS OVER 5 YEARS' TIME IN ONE INSTITUTION
Goralczyk, A.
Mannur, K.
Villa, F.
Devalia, K.
OBESITY SURGERY, 2014, 24 (08) : 1275 - 1275

← 1 →