Go back
Title: IR before forefront: Pre-operative Embolization in Improving Patient Outcome.
e-poster Number: EPOS 41
Category: e Poster
Author Name: Dr. Mohammed Shakeebuddin Kashif
Institute:
Co-Author Name:
Abstract :
Aims & Objectives
Preoperative embolization is now a well-established procedure to improve patient outcome by reducing blood loss, better surgical field visualization, dissection and overall reduce hospital stay.
We present three cases where preoperative embolization helped in minimizing blood loss, achieving easy surgical dissection of planes and better outcome.
Methods
Three patients with diagnosis of floor of mouth AVM, right lumbar region AVM and mediastinal mass respectively were referred to the department of IR before taking up for surgery at Kidwai Memorial Institute of Oncology.
Results
Case 1: Young female in late 20s with swelling in floor of mouth diagnosed as AVM (~6 cm) causing facial dysmorphism and tongue protrusion associated with stigmata and depression, severe anemia. After adequate preparation angioembolization using n-butyl cyanoacrylate glue to feeders arising from right facial, left facial and labial artery. Intra op blood loss <100 mL, easy removal of lesion as described by surgeon "it came out like a scoop".
Case 2: Painful right lumbar region AVM in a 6-year-old boy not operated immediately because of multiple deep feeders from aorta. Embolization using glue and PVA particles for feeding arteries from subcostal, intercostal, lumbar, external and internal iliac, femoral vessels in multiple stages. Intra op blood loss <150 mL and easy dissection planes.
Case 3: Mediastinal mass with surrounding tortuous vessels. Embolization of feeding vessel from left internal mammary artery using PVA particles. Intra op blood loss <400 mL and easier dissection planes. Post op diagnosis - mediastinal ectopic thyroid tissue.
Companion case: Inoperable case of right gluteal AVM in a recently married young female patient. Glue embolization of feeding vessels from internal iliac artery was performed. Complete embolization was achieved and there was reduction in size and pain.
Conclusions
Pre-operative embolization is a safe procedure to improve patient outcomes by reducing blood loss and improving visualization and surgical planes for dissection and occluding deeper vessels which are otherwise not accessible.
