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Percutaneous Embolization of Carotid Paragangliomas Using Solely Onyx

Percutaneous Embolization of Carotid Paragangliomas Using Solely Onyx This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: ajnr.A1601v1 30/8/1594 most recent Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Wanke, I. Articles by Forsting, M. Search for Related Content PubMed PubMed Citation Articles by Wanke, I. Articles by Forsting, M. Hotlight (NEW!) What's Hotlight? American Journal of Neuroradiology 30:1594-1597, September 2009 © 2009 American Society of Neuroradiology HEAD AND NECK Percutaneous Embolization of Carotid Paragangliomas Using Solely Onyx I. Wanke a ,b , M.C. Jäckel c , S. Goericke a , V. Panagiotopoulos a ,d , U. Dietrich e and M. Forsting a a From the Institute of Diagnostic and Interventional Radiology and Neuroradiology (I.W., S.G., V.P., M.F.), University of Essen, Essen, Germany b Department of Neuroradiology (I.W.), Klinik Hirslanden, Zürich, Switzerland c Department of Oto-Rhino-Laryngology (M.C.J.), University Hospital of Essen, Essen, Germany d Departments of Neurosurgery and Interventional Neuroradiology (V.P.), University of Patras, Patras, Greece e Department of Neuroradiology (U.D.), Krankenanstalten Gilead, Bielefeld, Germany. Please address correspondence to Isabel Wanke, MD, PhD, Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital of Essen, Hufelandstr 55, 45147 Essen, Germany; e-mail: isabel.wanke@uni-due.de BACKGROUND AND PURPOSE: Paragangliomas are highly vascularized usually benign neoplasms arising from nerve tissue. Endovascular preoperative embolization is used to facilitate surgery but is often not complete, due to tiny feeding arteries not feasible for selective catheterization. Our purpose was to evaluate angiographic and clinical outcome using Onyx for percutaneous glomus tumor embolization. MATERIALS AND METHODS: A consecutive series of 4 patients with 6 paragangliomas located at the bifurcation of the common carotid artery were treated with percutaneous embolization using Onyx as the sole embolic material. RESULTS: Complete devascularization of the 6 paragangliomas was achieved using a percutaneous embolization technique with Onyx as a sole agent, combined with an endovascular microballoon that offered protection of the internal carotid artery. CONCLUSIONS: Further documentation is necessary to prove the higher grade of devascularization of paragangliomas with Onyx compared with other embolic material and the associated potential to facilitate surgery. Nevertheless, Onyx seems to be safe when used percutaneously due to its lavalike pattern flow and its controllable properties, allowing slow tumor bed penetration. This article has been cited by other articles: J. J. Gemmete, N. Chaudhary, A. Pandey, D. Gandhi, S. E. Sullivan, L. J. Marentette, D. B. Chepeha, and S. A. Ansari Usefulness of Percutaneously Injected Ethylene-Vinyl Alcohol Copolymer in Conjunction with Standard Endovascular Embolization Techniques for Preoperative Devascularization of Hypervascular Head and Neck Tumors: Technique, Initial Experience, and Correlation with Surgical Observations AJNR Am. J. Neuroradiol., May 1, 2010; 31(5): 961 - 966. Abstract Full Text PDF Home Subscribe Author Instructions Submit Online Search the AJNR Archives Feedback Help Copyright © 2010 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Percutaneous Embolization of Carotid Paragangliomas Using Solely Onyx

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References (15)

Publisher
American Journal of Neuroradiology
Copyright
Copyright © 2010 by the American Society of Neuroradiology.
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A1601
Publisher site
See Article on Publisher Site

Abstract

This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: ajnr.A1601v1 30/8/1594 most recent Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Wanke, I. Articles by Forsting, M. Search for Related Content PubMed PubMed Citation Articles by Wanke, I. Articles by Forsting, M. Hotlight (NEW!) What's Hotlight? American Journal of Neuroradiology 30:1594-1597, September 2009 © 2009 American Society of Neuroradiology HEAD AND NECK Percutaneous Embolization of Carotid Paragangliomas Using Solely Onyx I. Wanke a ,b , M.C. Jäckel c , S. Goericke a , V. Panagiotopoulos a ,d , U. Dietrich e and M. Forsting a a From the Institute of Diagnostic and Interventional Radiology and Neuroradiology (I.W., S.G., V.P., M.F.), University of Essen, Essen, Germany b Department of Neuroradiology (I.W.), Klinik Hirslanden, Zürich, Switzerland c Department of Oto-Rhino-Laryngology (M.C.J.), University Hospital of Essen, Essen, Germany d Departments of Neurosurgery and Interventional Neuroradiology (V.P.), University of Patras, Patras, Greece e Department of Neuroradiology (U.D.), Krankenanstalten Gilead, Bielefeld, Germany. Please address correspondence to Isabel Wanke, MD, PhD, Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital of Essen, Hufelandstr 55, 45147 Essen, Germany; e-mail: isabel.wanke@uni-due.de BACKGROUND AND PURPOSE: Paragangliomas are highly vascularized usually benign neoplasms arising from nerve tissue. Endovascular preoperative embolization is used to facilitate surgery but is often not complete, due to tiny feeding arteries not feasible for selective catheterization. Our purpose was to evaluate angiographic and clinical outcome using Onyx for percutaneous glomus tumor embolization. MATERIALS AND METHODS: A consecutive series of 4 patients with 6 paragangliomas located at the bifurcation of the common carotid artery were treated with percutaneous embolization using Onyx as the sole embolic material. RESULTS: Complete devascularization of the 6 paragangliomas was achieved using a percutaneous embolization technique with Onyx as a sole agent, combined with an endovascular microballoon that offered protection of the internal carotid artery. CONCLUSIONS: Further documentation is necessary to prove the higher grade of devascularization of paragangliomas with Onyx compared with other embolic material and the associated potential to facilitate surgery. Nevertheless, Onyx seems to be safe when used percutaneously due to its lavalike pattern flow and its controllable properties, allowing slow tumor bed penetration. This article has been cited by other articles: J. J. Gemmete, N. Chaudhary, A. Pandey, D. Gandhi, S. E. Sullivan, L. J. Marentette, D. B. Chepeha, and S. A. Ansari Usefulness of Percutaneously Injected Ethylene-Vinyl Alcohol Copolymer in Conjunction with Standard Endovascular Embolization Techniques for Preoperative Devascularization of Hypervascular Head and Neck Tumors: Technique, Initial Experience, and Correlation with Surgical Observations AJNR Am. J. Neuroradiol., May 1, 2010; 31(5): 961 - 966. Abstract Full Text PDF Home Subscribe Author Instructions Submit Online Search the AJNR Archives Feedback Help Copyright © 2010 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: Sep 1, 2009

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