Preoperative embolization of skull base meningiomas: current indications, techniques, and pearls for complication avoidance.

Preoperative embolization of skull base meningiomas: current indications, techniques, and pearls for complication avoidance.

Neurosurg Focus. 2018 Apr;44(4):E5

Authors: Yoon N, Shah A, Couldwell WT, Kalani MYS, Park MS

Abstract
Skull base meningiomas are technically challenging tumors to treat because of their deep vascular supply that can preclude early devascularization during resection. Preoperative embolization of these arterial feeders is thought to decrease blood loss and facilitate resection; however, given the complex and varied anatomy of these skull base lesions, preoperative embolization is not without risk. It is essential for both endovascular and skull base neurosurgeons to understand these risks in light of the potential benefits. The authors review the vascular anatomy of skull base meningiomas, indications for preoperative devascularization, endovascular techniques, and published results regarding embolization of these lesions.

PMID: 29606046 [PubMed - in process]

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