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Spine
Preoperative direct percutaneous embolization of spinal metastasis from renal cell carcinoma
  1. Mario Ammirati1,
  2. Konstantinos Spiliopoulos2,
  3. Clara Raquel Epstein1,
  4. Josue Gabriel3,
  5. Eric C Bourekas1,4
  1. 1Department of Neurological Surgery, The Ohio State University College of Medicine, Columbus, Ohio, USA
  2. 2Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
  3. 3Department of Orthopedics, The Ohio State University College of Medicine, Columbus, Ohio, USA
  4. 4Department of Radiology, The Ohio State University College of Medicine, Columbus, Ohio, USA
  1. Correspondence to Dr Eric C Bourekas, Section of Diagnostic and Interventional Neuroradiology, The Ohio State University Medical Center, Department of Radiology, 395 W 12th Ave, Rm 468, Columbus, OH 43210, USA; eric.bourekas{at}osumc.edu

Abstract

Preoperative direct percutaneous embolization has been very rarely used in hypervascular metastatic spinal tumors to decrease blood loss during the surgery. A patient is presented with solitary spinal metastasis due to renal cell carcinoma who underwent a two-stage spondylectomy. Transarterial tumor embolization with polyvinyl alcohol (PVA) particles and liquid coil placement, and percutaneous tumor embolization with PVA particles were used before the first and the second stage, respectively.

  • Direct
  • embolization
  • percutaneous
  • spine
  • tumor
  • malignant
  • metastatic
  • technique

https://doi.org/10.1136/jnis.2010.003699

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    Footnotes

    • Competing interests None.

    • Provenance and peer review Not commissioned; externally peer reviewed.