[Interventional radiology in the head and neck region]. / Interventionelle Radiologie im Kopf-Hals-Bereich.
HNO
; 65(6): 482-489, 2017 Jun.
Article
em De
| MEDLINE
| ID: mdl-28451716
ABSTRACT
In interventional neuroradiology, endovascular embolization represents an important and helpful tool in the treatment of multiple head and neck diseases. These interventional procedures may be performed with curative intent, to reduce the surgical risk within a multimodal treatment concept, or to improve or at least maintain a good quality of life within a palliative therapy concept. In addition to a good understanding of disease pathology, knowledge of vascular anatomy, including collateral vessels and dangerous extracranial-intracranial anastomoses, is essential for successful treatment, as is implementation of an established technique using appropriate material. Indications for endovascular embolization are i. otherwise unmanageable bleeding (caused by e. g., trauma, vascular malformation, or tumor), ii. reduction of perioperative bleeding by preoperative embolization in case of a hypervascularized tumor, iii. selective induction of tumor necrosis by palliative embolization to enhance local tumor control. Major complications such as stroke, loss of vision, and cranial nerve palsy are mostly due to a lack of preinterventional evaluation. Regarding neurological deficits, interventions within the supply region of the external carotid artery have a complication rate below 1%.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hemostáticos
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Radiografia Intervencionista
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Malformações Vasculares do Sistema Nervoso Central
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Embolização Terapêutica
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Neoplasias de Cabeça e Pescoço
Limite:
Humans
Idioma:
De
Revista:
HNO
Ano de publicação:
2017
Tipo de documento:
Article