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Percutaneous osteoplasty for hypervascular bone metastasis

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Abstract

We report three cases of percutaneous osteoplasty for the treatment of hypervascular bone metastasis. Four hypervascular bone metastases were treated in three consecutive patients by percutaneous osteoplasty under fluoroscopic or computed tomographic guidance. Primary malignant tumors included pheochromocytoma and renal cell carcinoma. Pain relief after osteoplasty was achieved in all three patients. There was no major complication. Projectile bleeding and subcutaneous hematoma were noted during or after osteoplasty but were easily controlled conservatively. Percutaneous osteoplasty for hypervascular bone metastases is not only a highly effective but also a minimally invasive technique that provides immediate pain relief without major complication.

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References

  1. Galibert P, Deramond H, Rosat P, Le Gars D. [Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty.] Neurochirurgie 1987;33:166–168.

    PubMed  CAS  Google Scholar 

  2. Hierholzer J, Anselmetti G, Fuchs H, Depriester C, Koch K, Pappert D. Percutaneous osteoplasty as a treatment for painful malignant bone lesions of the pelvis and femur. J Vasc Intervent Radiol 2003;14:773–777.

    Google Scholar 

  3. Hammond A, Riley LH 3rd, Gailloud P, Nussbaum DA, Malhotra A, Watkins M, et al. Treatment considerations for vertebroplasty in men. AJNR Am J Neuroradiol 2004;25:639–641.

    PubMed  Google Scholar 

  4. Cotten A, Dewatre F, Cortet B, Assaker R, Leblond D, Duquesnoy B, et al. Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up. Radiology 1996;200:525–530.

    PubMed  CAS  Google Scholar 

  5. Kelekis A, Lovblad KO, Mehdizade A, Somon T, Yilmaz H, Wetzel SG, et al. Pelvic osteoplasty in osteolytic metastases: technical approach under fluoroscopic guidance and early clinical results. J Vasc Interv Radiol 2005;16:81–88.

    PubMed  Google Scholar 

  6. Papagelopoulos PJ, Mavrogenis AF, Kelekis AD, Katonis P, Galanis EC, Wenger DE, et al. Percutaneous osteoplasty for pelvic and spine metastases. Orthopedics 2006;29:315–323.

    PubMed  Google Scholar 

  7. Schirmer CM, Malek AM, Kwan ES, Hoit DA, Weller SJ. Preoperative embolization of hypervascular spinal metastases using percutaneous direct injection with n-butyl cyanoacrylate: technical case report. Neurosurgery 2006;59:E431–432.

    Article  PubMed  Google Scholar 

  8. Manke C, Bretschneider T, Lenhart M, Strotzer M, Neumann C, Gmeinwieser J, et al. Spinal metastases from renal cell carcinoma: effect of preoperative particle embolization on intraoperative blood loss. AJNR Am J Neuroradiol 2001;22:997–1003.

    PubMed  CAS  Google Scholar 

  9. Chiras J, Cognard C, Rose M, Dessauge C, Martin N, Pierot L, et al. Percutaneous injection of an alcoholic embolizing emulsion as an alternative preoperative embolization for spine tumor. AJNR Am J Neuroradiol 1993;14:1113–1117.

    PubMed  CAS  Google Scholar 

  10. Uemura A, Matsusako M, Numaguchi Y, Oka M, Kobayashi N, Niinami C, et al. Percutaneous sacroplasty for hemorrhagic metastases from hepatocellular carcinoma. AJNR Am J Neuroradiol 2005;26:493–495.

    PubMed  Google Scholar 

  11. Weill A, Chiras J, Simon JM, Rose M, Sola-Martinez T, Enkaoua E. Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement. Radiology 1996;199:241–247.

    PubMed  CAS  Google Scholar 

  12. Schaefer O, Lohrmann C, Markmiller M, Uhrmeister P, Langer M. Technical innovation: combined treatment of a spinal metastasis with radiofrequency heat ablation and vertebroplasty. AJR Am J Roentgenol 2003;180:1075–1077.

    PubMed  Google Scholar 

  13. Peh WC, Gilula LA. Percutaneous vertebroplasty: indications, contraindications, and technique. Br J Radiol 2003;76:69–75.

    Article  PubMed  CAS  Google Scholar 

  14. Hartsell WF, Scott CB, Bruner DW, Scarantino CW, Ivker RA, Roach M 3rd, et al. Randomized trial of short-versus long-course radiotherapy for palliation of painful bone metastases. J Natl Cancer Inst 2005;97:798–804.

    PubMed  Google Scholar 

  15. Purkayastha S, Gupta AK, Kapilamoorthy TR, Kesavadas C, Thomas B, Krishnamoorthy T, et al. Percutaneous vertebroplasty in the management of vertebral lesions. Neurol India 2005;53:167–72; discussion 72–3.

    Article  PubMed  CAS  Google Scholar 

  16. Belkoff SM, Molloy S. Temperature measurement during polymerization of polymethylmethacrylate cement used for vertebroplasty. Spine 2003;28:1555–1559.

    Article  PubMed  Google Scholar 

  17. Bostrom MP, Lane JM. Future directions: augmentation of osteoporotic vertebral bodies. Spine 1997;22:38S–42S.

    Article  PubMed  CAS  Google Scholar 

  18. Dahl OE, Garvik LJ, Lyberg T. Toxic effects of methylmethacrylate monomer on leukocytes and endothelial cells in vitro. Acta Orthop Scand 1994;65:147–153.

    PubMed  CAS  Google Scholar 

  19. King GJ, Kostuik JP, McBroom RJ, Richardson W. Surgical management of metastatic renal carcinoma of the spine. Spine 1991;16:265–271.

    Article  PubMed  CAS  Google Scholar 

  20. Sundaresan N, Choi IS, Hughes JE, Sachdev VP, Berenstein A. Treatment of spinal metastases from kidney cancer by presurgical embolization and resection. J Neurosurg 1990;73:548–554.

    Article  PubMed  CAS  Google Scholar 

  21. Mori K, Nishimura T, Katakami K, Kameda N, Nishimura S, Tanigawa N, et al. Basic experimental study of intraosseous venography using carbon dioxide contrast agent in percutaneous vertebroplasty. Nihon Igaku Houshasen Gakkai Zasshi 2005;62:136–144.

    Google Scholar 

  22. Vasconcelos C, Gailloud P, Beauchamp NJ, Heck DV, Murphy KJ. Is percutaneous vertebroplasty without pretreatment venography safe? Evaluation of 205 consecutive procedures. AJNR Am J Neuroradiol 2002;23:913–917.

    PubMed  Google Scholar 

  23. Laredo JD, Hamze B. Complications of percutaneous vertebroplasty and their prevention. Semin Ultrasound CT MR 2005;26:65–80.

    Article  PubMed  Google Scholar 

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Correspondence to Makoto Shinoto.

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Shinoto, M., Hasuo, K., Aibe, H. et al. Percutaneous osteoplasty for hypervascular bone metastasis. Radiat Med 26, 603–608 (2008). https://doi.org/10.1007/s11604-008-0277-0

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  • DOI: https://doi.org/10.1007/s11604-008-0277-0

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