TY - JOUR
T1 - Endoscopically assisted intratumoral embolization of juvenile nasopharyngeal angiofibroma using Onyx
T2 - Case report
AU - Aziz-Sultan, Mohammad Ali
AU - Moftakhar, Roham
AU - Wolfe, Stacey Quintero
AU - Elhammady, Mohamed Samy
AU - Herman, Björn
AU - Farhat, Hamad
PY - 2011/6/1
Y1 - 2011/6/1
N2 - Juvenile nasopharyngeal angiofibromas are vascular tumors that may make resection difficult and potentially dangerous. Preoperative embolization is frequently used to decrease surgical morbidity and blood loss. Embolization has typically been performed via a transarterial route using a variety of embolic materials. The authors present a case in which endoscopic assistance was used for direct transnasal tumor puncture and intratumoral embolization using the liquid embolic agent Onyx. In this case there was excellent infiltration of the parenchymal vasculature with complete angiographic obliteration. There were no complications related to the embolization. The tumor was resected with minimal blood loss. To the authors' knowledge, there have been no previous reports of this novel direct intratumoral embolization technique using endoscopic guidance.
AB - Juvenile nasopharyngeal angiofibromas are vascular tumors that may make resection difficult and potentially dangerous. Preoperative embolization is frequently used to decrease surgical morbidity and blood loss. Embolization has typically been performed via a transarterial route using a variety of embolic materials. The authors present a case in which endoscopic assistance was used for direct transnasal tumor puncture and intratumoral embolization using the liquid embolic agent Onyx. In this case there was excellent infiltration of the parenchymal vasculature with complete angiographic obliteration. There were no complications related to the embolization. The tumor was resected with minimal blood loss. To the authors' knowledge, there have been no previous reports of this novel direct intratumoral embolization technique using endoscopic guidance.
KW - Endoscope
KW - Functional neurosurgery
KW - Juvenile nasopharyngeal angiofibroma
KW - Onyx
KW - Percutaneous embolization
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U2 - 10.3171/2011.2.PEDS09442
DO - 10.3171/2011.2.PEDS09442
M3 - Article
C2 - 21631195
AN - SCOPUS:79958061926
VL - 7
SP - 600
EP - 603
JO - Journal of Neurosurgery: Pediatrics
JF - Journal of Neurosurgery: Pediatrics
SN - 1933-0707
IS - 6
ER -