The role of preoperative selective embolization for intracranial huge meningiomas

VernacularTitle:选择性栓塞在大型脑膜瘤手术治疗中的作用
Author: Wen CHEN ; Junwen WANG ; Lei WANG ; Zhi CHEN ; Jun LI
Publication Type:Journal Article
Keywords: digital subtraction angiography; selected preoperative embolization; meningioma
From: Chongqing Medicine 2014;(23):2986-2987,2990
CountryChina
Language:Chinese
Abstract: Objective To explore the role of the preoperative DSA examination and selected embolization in surgical treatment of intracranial huge meningiomas .Methods The clinical materials of 13 patients was collected and analyzed .Preoperative DSA was carried out in all cases ,10 of 13 underwent selected preoperative embolization ,the meningiomas were totally excised by surgery 4 to 7 days after the embolization .Results After the embolization ,DSA showed that the blood fed to the tumors was completely blocked in 8 cases ,and in great part in 2 cases .All tumors were totally removed ,the bleeding during operation was significantly decreased in patients who underwent preoperative embolization compared to the patients without embolization (P<0 .05) .Necrosis in different degree of meningiomas was found in postoperative pathological examination .There were no severe complications occurred during and after operations in all patients .Conclusion Preoperative selective embolization could significantly decrease the bleeding during operations .