Preoperative Embolization in the Management of Giant Thoracic Tumors: A Case Series.

Autor: Lucarelli NM; Interdisciplinary Department of Medicine, Section of Radiology and Radiation Oncology, University of Bari 'Aldo Moro', 70124 Bari, Italy., Maggialetti N; Interdisciplinary Department of Medicine, Section of Radiology and Radiation Oncology, University of Bari 'Aldo Moro', 70124 Bari, Italy., Marulli G; Division of Thoracic Surgery, IRCCS Humanitas Research Hospital, 20089 Milan, Italy.; Department of Biomedical Sciences, Humanitas University, 20090 Milan, Italy., Mariani P; Interdisciplinary Department of Medicine, Section of Radiology and Radiation Oncology, University of Bari 'Aldo Moro', 70124 Bari, Italy., Villanova I; Interdisciplinary Department of Medicine, Section of Radiology and Radiation Oncology, University of Bari 'Aldo Moro', 70124 Bari, Italy., Mirabile A; U.O.C. Radiologia, P.O. San Paolo, ASL Bari, 70123 Bari, Italy., Morelli C; Neuroradiology Unit, Azienda Ospedaliera Consorziale Policlinico di Bari, 70124 Bari, Italy., De Palma A; Unit of Thoracic Surgery, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari 'Aldo Moro', 70124 Bari, Italy., Stabile Ianora AA; Interdisciplinary Department of Medicine, Section of Radiology and Radiation Oncology, University of Bari 'Aldo Moro', 70124 Bari, Italy.
Jazyk: angličtina
Zdroj: Journal of personalized medicine [J Pers Med] 2024 Sep 24; Vol. 14 (10). Date of Electronic Publication: 2024 Sep 24.
DOI: 10.3390/jpm14101019
Abstrakt: Objectives : The aim of this paper is to describe our experience in the embolization of hypervascular giant thoracic tumors before surgical excision. Methods : A single-center retrospective review of five trans-arterial preoperative embolization procedures executed between October 2020 and July 2024. Patients' demographics, anatomical aspects, feasibility, technique, and outcomes were reviewed. Results : In all cases, accurate targeting and safe embolization was achieved, with satisfactory devascularization evaluated with post-procedural angiography and with minimal blood loss during subsequent surgical operation. Conclusions : In our experience, preoperative embolization of giant thoracic masses has been technically feasible, safe, and effective in reducing tumor vascularization, thus facilitating surgical treatment. This approach should be evaluated as an option, especially in patients with hypervascular thoracic tumors.
Databáze: MEDLINE