Preoperative embolization of spinal tumors: An analysis of factors influencing intraoperative blood loss

doi:10.3877/cma.j.issn.2095-5782.2014.03.003

Abstract

Abstract:

Objective

To evaluate the safety of different spinal tumor preoperative embolization and the factors that may influence intraoperative blood loss.

Methods

Between March 2003 and May 2011A total of 90 spinal tumor patients receiving preoperative embolization were retrospectively analyzed. Multiple factors, including sex, pathological type, embolization agent, interval between embolization and surgery, surgical history (first or not) and tumor invasion range (for cervical, thoracic and lumbar vertebrae) were analyzed for the effect on intraoperative blood loss.

Results

For all subjects and those with cervical, thoracic and lumbar vertebral tumors, the estimated blood loss (EBL) was significantly lower if the surgery was first surgery (P=0.023 and 0.044, respectively), and the EBL of giant cell tumor (GCT) was significantly higher than other primary tumors (P=0.013 and 0.006, respectively). The EBL was not statistically different with sex, embolization agent, interval between embolization and surgery and tumor invasion range.

Conclusion

It is safe and effective for preoperative embolization to reduce the intraoperative blood loss and improve the surgical removal rate.

Key words: Preoperative embolization, Spinal tumor, Influence factor

Chen Chen, Long Jin, Jian Gao, Lei Chen. Preoperative embolization of spinal tumors: An analysis of factors influencing intraoperative blood loss[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2014, 02(03): 8-10.

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References 10

1	Bilsky MH,Lis E,Raizer J, et al. The diagnosis and treatment of metastatic spinal tumor[J]. Oncologist, 1999,4(6):459-469.
2	Benati A,Dalle Ore G,Da Pian R, et al. Transfemoral selective embolisation in the treatment of some cranial and vertebro-spinal vascular malformations and tumours: preliminary results.[J]J Neurosurg Sci, 1974,18(4):233-238.
3	Guzman R,Dubach-Schwizer S,Heini P, et al. Preoperative transarterial embolization of vertebralmetastases[J]. Eur Spine J, 2005,14(3):263-268.
4	Manke C,Bretschneider T,Lenhart M, et al. Spinal metastases from renal cell carcinoma: effect of preoperative particle embolization on intraoperative blood loss[J]. AJNR Am J Neuroradiol, 2001,22(5):997-1003.
5	Gellad FE,Sadato N,Numaguchi Y, et al. Vascular metastatic lesions of the spine: preoperative embolization[J]. Radiology, 1990,176(3):683-686.
6	Berkefeld J,Scale D,Kirchner J, et al. Hypervascular spinal tumors: influence of the embolization technique on perioperative hemorrhage[J]. Am J Neuroradiol, 1999,20(5):757-763.
7	Wilson MA,Cooke DL,Ghodke B,et al. Retrospective analysis of preoperative embolization of spinal tumors[J]. Am J Neuroradiol, 2010,31(4):656-660.
8	Mirza SK,Deyo RA,Heagerty PJ, et al. Development of an index to characterize the "invasiveness" of spine surgery: validation by comparison to blood loss and operative time[J]. Spine, 2008,33(24):2651-2661, discussion 2662.
9	Denis F. Spinal instability as defined by the three-column spine concept in acute spinal trauma[J]. Clin Orthop Relat Res, 1984,(189):65-76.
10	Wirbel RJ,Roth R,Schulte M, et al. Preoperative embolization in spinal and pelvic metastases[J]. J Orthop Sci, 2005,10(3):253-257.

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