Role of angiography in limb-tumor surgery
| Autor: | George Hermann, E P Weingarten, H A Mitty, Ibrahim Fikry Abdelwahab, M M Lewis, N D Bloom |
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| Rok vydání: | 1991 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Vessel occlusion Bone Neoplasms Soft Tissue Neoplasms Anastomosis Surgical planning Neoplasms medicine Humans Radiology Nuclear Medicine and imaging Displacement (orthopedic surgery) Child Aged medicine.diagnostic_test business.industry Angiography Extremities Middle Aged Surgery Female Tumor surgery Radiology business |
| Zdroj: | RadioGraphics. 11:1029-1044 |
| ISSN: | 1527-1323 0271-5333 |
| DOI: | 10.1148/radiographics.11.6.1749848 |
| Popis: | Routine preoperative angiograms obtained in 97 consecutive patients with bone and soft-tissue tumors of the extremities were retrospectively reviewed to determine the role of angiography in surgical planning. Some degree of major vessel displacement was demonstrated in 51 patients. Encasement of major vessels, which precluded limb-salvage surgery, was seen in five of 76 bone tumors and in three of 21 soft-tissue tumors. All five patients with osteochondromas had associated vessel occlusion or compromise. For surgical planning, the demonstration of adequate anastomoses in the arches of the hands and feet is important, as branches of brachial and popliteal arteries may have to be sacrificed during limb-tumor surgery. Angiographic findings indicated or supported the need for a vascular surgeon in five cases in this series. Preoperative angiography provides important information with regard to the status of the vasculature and therefore is essential in the management of bone and soft-tissue tumors of the extremities. |
| Databáze: | OpenAIRE |
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