The purpose of selective arterial embolization (EAS) is to deprive a vessel-rich neoplasm of blood supply in order to lead it to ischemic necrosis. In this issue are evaluated EAS uses concerning aneurysmal bone cyst (ABC), both as therapeutic treatment alone, and as adjuvant to following surgery. EAS were performed using arteriographic transfemoral catheterization routine methods and, depending on circumstances; different embolic materials or their associations. In the considered period 20 patients affected by ABC were observed and proposed for embolic treatment: 11 females and 9 males (average age 22.45 years). In 16 cases EAS had therapeutic indication, in 4 cases adjuvant indication. Treatment was not performed in 5 cases. Altogether, in 15 cases 34 EAS were performed. Medium follow-up was 37 months. Results evaluation in the cases treated by therapeutic indication was done considering evolutive clinical-radiological features, considering meaningful pain mitigation and lesional ossification progress. Results evaluation in cases treated by adjuvant purpose was founded on surgeon's subjective opinion on intraoperative bleeding amount coming from merely lesional tissue. Results could be deemed: good, unchanged, bad. Out of 13 therapeutic EAS, outcomes were considered good in 12 cases, bad in 1. Results of both the performed adjuvant EAS were considered good.
|Translated title of the contribution||Selective arterial embolization as treatment of musculo-skeletal aneurysmal bone cysts|
|Number of pages||4|
|Journal||Minerva Ortopedica e Traumatologica|
|Publication status||Published - 1997|
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