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Preoperative embolization of skull base meningiomas: current indications, techniques, and pearls for complication avoidance

机译:颅底脑膜瘤的术前栓塞:目前的适应症,技术和避免并发症的珍珠

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Skull base meningiomas are technically challenging tumors to treat because of their deep vascular supply that can preclude early devascularization during resection. Preoperative embolization of these arterial feeders is thought to decrease blood loss and facilitate resection; however, given the complex and varied anatomy of these skull base lesions, preoperative embolization is not without risk. It is essential for both endovascular and skull base neurosurgeons to understand these risks in light of the potential benefits. The authors review the vascular anatomy of skull base meningiomas, indications for preoperative devascularization, endovascular techniques, and published results regarding embolization of these lesions.
机译:颅底脑膜瘤在技术上具有挑战性,因为其深层的血管供应可能会阻止切除期间的早期血运重建。这些动脉支气管的术前栓塞术被认为可减少失血量并促进切除。然而,鉴于这些颅底病变的解剖结构复杂多样,术前栓塞并非没有风险。对于血管内和颅底神经外科医生来说,根据潜在的益处了解这些风险至关重要。作者回顾了颅底脑膜瘤的血管解剖结构,术前血运重建的适应症,血管内技术,并发表了有关这些病变栓塞的结果。

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