J Neurol Surg B Skull Base 2021; 82(S 02): S65-S270
DOI: 10.1055/s-0041-1725491
Presentation Abstracts
Poster Abstracts

Safety and Efficacy of Preoperative Embolization of Meningioma with a Balloon Catheter

Manasa G. Rao
1   Icahn School of Medicine at Mount Sinai, New York, New York, United States
,
Travis R. Ladner
2   Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, United States
,
William H. Shuman
1   Icahn School of Medicine at Mount Sinai, New York, New York, United States
,
Rui Feng
2   Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, United States
,
Johanna T. Fifi
2   Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, United States
,
Reade A. D. Leacy
3   Department of Neurosurgery, Mount Sinai Hospital, New York, New York, United States
,
J. Mocco
3   Department of Neurosurgery, Mount Sinai Hospital, New York, New York, United States
,
Raj Shrivastava
2   Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, United States
› Author Affiliations
› Further Information
 

Introduction: Preoperative embolization of tumor feeders arising from the intracranial circulation is a therapy for highly vascularized tumors. Highly vascularized tumors can result in large magnitudes of intraoperative blood loss and preoperative embolization is believed to allow for resections with fewer intraoperative complications. Here, we analyze the safety and efficacy of preoperative embolization in meningioma patients that received embolization with the Scepter XC dual lumen balloon catheter.

Materials/Methods: A retrospective chart review of a total of 18 patients with both supratentorial and skull base meningiomas was performed from July 2015 to February 2020. All embolization procedures were performed within our institution.

Results: The mean age of patients was 62.8 years. The mean BMI was 25.9. Five (28%) of patients were male and 13 (72%) were female. Thirteen (72%) of tumors were skull base. The most common artery supplying a tumor was the middle meningeal artery (94%). The most common embolization material used was Onyx in 17 patients (94%). Fourteen (82%) received gross total resection. Mean length-of-stay was 6.125 days. Six patients (33%) were WHO grade-II tumors. Mean tumor volume was 48.1 cm3 with a mean edema index (ratio of preoperative peritumoral edema to tumor volume) of 0.86. No patients had immediate postembolization complications. Two patients (11%) required postoperative radiation and three patients (16%) had tumor recurrence. Mean blood loss was 422 mL. One patient (5.5%) had a postoperative surgical complication of deep venous thrombosis.

Conclusion: In our case series, surgical planning for meningioma resection utilizing preoperative embolization carries minimal risk to the patient. Preoperative embolization of meningioma with the Scepter XV dual lumen balloon catheter is a safe and effective procedure.



Publication History

Article published online:
12 February 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany