Embolization of Vascular Tumors of the Head and Neck

被引：16

作者：

Gemmete, Joseph J. ^{[1
]}

Ansari, Sameer A. ^{[2
,3
,4
]}

McHugh, Jonathan ^{[5
]}

Gandhi, Dheeraj ^{[6
,7
,8
]}

机构：

[1] Univ Michigan Hlth Syst, Dept Radiol, Div Intervent Neuroradiol, Ann Arbor, MI 48109 USA

[2] Univ Chicago, Med Ctr, Dept Radiol, Chicago, IL 60637 USA

[3] Univ Chicago, Med Ctr, Dept Neurol, Chicago, IL 60637 USA

[4] Univ Chicago, Med Ctr, Dept Surg, Chicago, IL 60637 USA

[5] Univ Michigan Hlth Syst, Dept Pathol, Ann Arbor, MI USA

[6] Johns Hopkins Univ & Hosp, Dept Radiol, Div Intervent Neuroradiol, Baltimore, MD 21287 USA

[7] Johns Hopkins Univ & Hosp, Dept Neurol, Div Intervent Neuroradiol, Baltimore, MD 21287 USA

[8] Johns Hopkins Univ & Hosp, Dept Neurosurg, Div Intervent Neuroradiol, Baltimore, MD 21287 USA

来源：

NEUROIMAGING CLINICS OF NORTH AMERICA | 2009年 / 19卷 / 02期

关键词：

Head and neck tumor; Preoperative tumor embolization; Therapeutic embolization; Direct puncture; JUVENILE NASOPHARYNGEAL ANGIOFIBROMA; EXTERNAL CAROTID-ARTERY; GLOMUS-JUGULARE TUMORS; SKULL-BASE TUMORS; VAGAL BODY TUMORS; OF-THE-LITERATURE; PREOPERATIVE EMBOLIZATION; BLOOD-LOSS; RADIATION-THERAPY; PARAGANGLIOMAS;

D O I：

10.1016/j.nic.2009.01.008

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Juvenile nasopharyngeal angiofibromas and paragangliomas are the most common hypervascular tumors of the head and neck that require embolization as an adjunct to surgery. A detailed understanding of the functional vascular anatomy of the external carotid artery is necessary for safe and effective endovascular therapy. Embolization, using a transarterial technique and particulate agents, a direct puncture technique and liquid embolic agents, or both techniques may allow for complete devascularization of hypervascular tumors of the head and neck. Effective embolization of these tumors results in a significant reduction of blood loss during surgery and allows for complete resection of the tumors. Use of meticulous technique and a thorough knowledge of functional anatomy of the head and neck vasculature are essential.

引用

页码：181 / +

页数：19

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