Editorial
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Radiol. May 28, 2012; 4(5): 186-192
Published online May 28, 2012. doi: 10.4329/wjr.v4.i5.186
Preoperative transarterial Embolisation in bone tumors
Pankaj Gupta, Shivanand Gamanagatti
Pankaj Gupta, Shivanand Gamanagatti, Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India
Author contributions: Gupta P prepared and revised the initial manuscript; Gamanagatti S performed embolisation, editing of the manuscript and gave final approval for the manuscript.
Correspondence to: Shivanand Gamanagatti, Associate Professor, Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. shiv223@rediffmail.com
Telephone: +91-11-26594567 Fax: +91-11-26588663
Received: September 25, 2011
Revised: February 3, 2012
Accepted: February 10, 2012
Published online: May 28, 2012
Abstract

Bone tumors include a variety of lesions, both primary and metastatic. The treatment modalities for bone tumors vary with the individual lesion, but in general surgical excision is the treatment of choice with other adjunctive therapies. However, surgery for many bone tumors is complex due to several factors including tumor bulk, vascularity, vicinity to vital structures and potentially inaccessible location of the lesion. Transarterial Embolisation (TAE) is one of the important adjuvant treatment modalities and in some cases it may be the primary and curative treatment. Preoperative TAE has proved to be effective in both primary and metastatic bone tumors. It reduces tumor vascularity and intraoperative blood loss, the need for blood transfusion and associated complications, allows better definition of tissue planes at surgery affording more complete excision, and hence reduced recurrence. Preoperative chemoEmbolisation has also been shown to increase the sensitivity of some tumors to subsequent chemotherapy and radiotherapy. There are several techniques and embolic agents available for this purpose, but the ultimate aim is to achieve tumor devascularization. In this review, we discuss the techniques including the choice of embolic agent, application to individual lesions and potential complications.

Keywords: Blood loss; Surgical; Bone tumors; Embolisation; Radiology; Interventional