J Korean Radiol Soc.  1985 Jun;21(3):375-383. 10.3348/jkrs.1985.21.3.375.

Transarterial embolization in head and neck lesions

• Chang KH
• Han MC

• KMID: 2462450
• DOI: http://doi.org/10.3348/jkrs.1985.21.3.375

Abstract

The transarterial embolization procedures have been performed in a total of 38 patients with head and necklesions, including 5 carotid-carvernous fistulas, 1 internal carotid aneurysm, 10 meningiomas, 16 nasopharyngealangiofibromas, 1 post-traumatic epistaxis and 5 other vascular tumors, over the 18 months-period. Six cases of C-Cfistulas and ICA aneurysm were treated with the detachable balloon catheter technique. The meningiomas, angiofibromas and all other lesions were embolized with superselection of the branches of the external carotidartery such as the internal maxillary, the middle meningeal, the ascending pharyngeal, the facial or otherbronches, using Berenstein superselective catheters of conventional angiographic catheters. The PVA(polyvinylalcohol foam) and/or Gelfoam particles were used as embolic materials in these cases. Most of the lesions weresuccessfully embolized with minor transient complications such as pain, headache, vomitting, fever and etc. But in4 cases occurred the serious complications; one cerebral hemorrhage, two cerebral infarctions, and one acutelaryngeal edema. The selection of the embolic materials and the catheters, and the complications are brieflydiscussed.

MeSH Terms

Aneurysm
Angiofibroma
Catheters
Cerebral Hemorrhage
Cerebral Infarction
Edema
Epistaxis
Fever
Fistula
Gelatin Sponge, Absorbable
Head*
Headache
Humans
Meningioma
Neck*