Transarterial Embolization of Vascular Tumors in the Head and Neck

Steven J. Willing

doi:10.1055/s-2003-38104

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2003; 20(1): 003-012
DOI: 10.1055/s-2003-38104

Transarterial Embolization of Vascular Tumors in the Head and Neck

Steven J. Willing

Associate Professor of Radiology, Interventional Neuroradiology, Department of Radiology, Indiana University School of Medicine, Indianapolis, Indiana

Abstract

ABSTRACT

Preoperative embolization of hypervascular tumors is a standard practice among most developed nations. In this article, the background, technique, benefits, and risks of embolization of the major vascular tumors of the head and neck, primarily paragangliomas, angiofibromas, and meningiomas are reviewed. The evidence for and against embolization is critically examined, and there is an attempt to formulate recommendations based on that evidence.

KEYWORDS

Embolization - angiofibroma - carotid body tumor - glomus tumor - meningioma

Full Text

References

REFERENCES

1 Netterville J L, Jackson C G, Miller F R, Wanamaker J R, Glasscock M E. Vagal paraganglioma: a review of 46 patients treated during a 20-year period. Arch Otolaryngol Head Neck Surg . 1998; 124 1133-1140
2 Bishop Jr B G, Urist M M, el Gammal T, Peters G E, Maddox W A. Paragangliomas of the neck. Arch Surg . 1992; 127 1441-1445
3 Plukker J T, Brongers E P, Vermey A, Krikke A, van den Dungen J J. Outcome of surgical treatment for carotid body paraganglioma. Br J Surg . 2001; 88 1382-1386
4 Farr H W. Carotid body tumors. A thirty year experience at Memorial Hospital. Am J Surg . 1967; 114 614-619
5 Leber K A, Eustacchio S, Pendl G. Radiosurgery of glomus tumors: midterm results. Stereotact Funct Neurosurg . 1999; 72(Suppl 1) 53-59
6 Liscak R, Vladyka V, Simonova G, Vymazal J, Janouskova L. Leksell gamma knife radiosurgery of the tumor glomus jugulare and tympanicum. Stereotact Funct Neurosurg . 1998; 70(Suppl 1) 152-160
7 Iaccarino V, Sodano A, Belfiore G, Matacena G, Porta E. Embolization of glomus tumors of the carotid: temporary or definitive?. Cardiovasc Intervent Radiol . 1985; 8 206-210
8 Casasco A, Herbreteau D, Houdart E. Devascularization of craniofacial tumors by percutaneous tumor puncture. AJNR Am J Neuroradiol . 1994; 15 1233-1239
9 Maier W, Marangos N, Laszig R. Paraganglioma as a systemic syndrome: pitfalls and strategies. J Laryngol Otol . 1999; 113 978-982
10 Valavanis A. Preoperative embolization of the head and neck: indications, patient selection, goals, and precautions. AJNR Am J Neuroradiol . 1986; 7 943-952
11 Tikkakoski T, Luotonen J, Leinonen S. Preoperative embolization in the management of neck paragangliomas. Laryngoscope . 1997; 107 821-826
12 Westerband A, Hunter G C, Cintora I. Current trends in the detection and management of carotid body tumors. J Vasc Surg . 1998; 28 84-92
13 Litle V R, Reilly L M, Ramos T K. Preoperative embolization of carotid body tumors: when is it appropriate?. Ann Vasc Surgery . 1996; 10 464-468
14 Kafie F E, Freischlag J A. Carotid body tumors: the role of preoperative embolization. Ann Vasc Surg . 2001; 15 237-242
15 Liapis C, Gougoulakis A, Karydakis V. Changing trends in management of carotid body tumors. Am Surg . 1995; 61 989-993
16 Wang S J, Wang M B, Barauskas T M, Calcaterra T C. Surgical management of carotid body tumors. Otolaryngol Head Neck Surg . 2000; 123 202-206
17 Bendszus M, Klein R, Burger R. Efficacy of trisacryl gelatin microspheres versus polyvinyl alcohol particles in the preoperative embolization of meningiomas. AJNR Am J Neuroradiol . 2000; 21 255-261
18 Chaloupka J C, Mangla S, Huddle D C. Evolving experience with direct puncture therapeutic embolization for adjunctive and palliative management of head and neck hypervascular neoplasms. Laryngoscope . 1999; 109 1864-1872
19 Casasco A, Houdart E, Biondi A. Major complications of percutaneous embolization of skull-base tumors. AJNR Am J Neuroradiol . 1999; 20 179-181
20 Gobin Y P, Pasco A, Merland J J. Percutaneous puncture of the external carotid artery or its branches after surgical ligation. AJNR Am J Neuroradiol . 1994; 15 79-82
21 Mitchell R O, Richardson J D, Lambert G E. Characteristics, surgical management, and outcome in 17 carotid body tumors. Am Surg . 1996; 62 1034-1037
22 Marangos N, Schumacher M. Facial palsy after glomus jugulare tumour embolization. J Laryngol Otol . 1999; 113 268-270
23 Herdman R C, Gillespie J E, Ramsden R T. Facial palsy after glomus tumour embolization. J Laryngol Otol . 1993; 107 963-966
24 Kremer R, Michel R P, Posner B. Catecholamine-secreting paraganglioma of glomus jugulare region. Am J Med Sci . 1989; 297 46-48
25 Eskridge J M, Harris A B, Finch L, Alotis M A. Carotid sinus syndrome and embolization procedures. AJNR Am J Neuroradiol . 1993; 14 818-820
26 Radkowski D, McGill T, Healy G B, Ohlms L, Jones D T. Angiofibroma. Changes in staging and treatment. Arch Otolaryngol Head Neck Surg . 1996; 122 122-129
27 Roberson G H, Biller H, Sessions D G, Ogura J H. Presurgical internal maxillary artery embolization in juvenile angiofibroma. Laryngoscope . 1972; 82 1524-1532
28 Pletcher J D, Newton T H, Dedo H H, Norman D. Preoperative embolization of juvenile angiofibromas of the nasopharynx. Ann Otol Rhinol Laryngol . 1975; 84 740-746
29 Fields J N, Halverson K J, Devineni V R, Simpson J R, Perez C A. Juvenile nasopharyngeal angiofibroma: efficacy of radiation therapy. Radiology . 1990; 176 263-265
30 Jacobsson M, Petruson B, Ruth M, Svendsen P. Involution of juvenile nasopharyngeal angiofibroma with intracranial extension. A case report with computed tomographic assessment. Arch Otolaryngol Head Neck Surg . 1989; 115 238-239
31 Roberson G H, Price A C, Davis J M, Gulati A. Therapeutic embolization of juvenile angiofibroma. AJR Am J Roentgenol . 1979; 133 657-663
32 Siniluoto T M, Luotonen J P, Tikkakoski T A, Leinonen A S, Jokinen K E. Value of pre-operative embolization in surgery for nasopharyngeal angiofibroma. J Laryngol Otol . 1993; 107 514-521
33 Wilms G, Peene P, Baert A L. Pre-operative embolization of juvenile nasopharyngeal angiofibromas. J Belge Radiol . 1989; 72 465-470
34 George B, Casasco A, Deffrennes D, Houdart E. Intratumoral embolization of intracranial and extracranial tumors: technical note. Neurosurgery . 1994; 35 771-773
35 Tranbahuy P, Borsik M, Herman P, Wassef M, Casasco A. Direct intratumoral embolization of juvenile angiofibroma. Am J Otolaryngol . 1994; 15 429-435
36 Ikram M, Khan K, Murad M, Haq T U. Facial nerve palsy unusual complication of percutaneous angiography and embolization for juvenile angiofibroma. JPMA J Pak Med Assoc . 1999; 49 201-202
37 Gay I, Elidan J, Gordon R. Oronasal fistula-a possible complication of preoperative embolization in the management of juvenile nasopharyngeal angiofibroma. J Laryngol Otol . 1983; 97 651-656
38 Zhang M, Garvis W, Linder T, Fisch U. Update on the infratemporal fossa approaches to nasopharyngeal angiofibroma. Laryngoscope . 1998; 108(Pt 1) 1717-1723
39 Willing S. Atlas of Neuroradiology. Philadelphia, PA: W.B. Saunders 1995
40 Manelfe C, Guiraud B, David J. Embolisation par catheterisme des meningiomes intracraniens. Rev Neurol (Paris) . 1973; 128 339-351
41 Manelfe C, Lasjaunias P, Ruscalleda J. Preoperative embolization of intracranial meningiomas. AJNR Am J Neuroradiol . 1986; 7 963-972
42 Wakhloo A K, Juengling F D, Van Velthoven V. Extended preoperative polyvinyl alcohol microembolization of intracranial meningiomas: assessment of two embolization techniques. AJNR Am J Neuroradiol . 1993; 14 571-582
43 Gruber A, Killer M, Mazal P, Bavinzski G, Richling B. Preoperative embolization of intracranial meningiomas: a 17-years single center experience. Minim Invasive Neurosurg . 2000; 43 18-29
44 Richter H P, Schachenmayr W. Preoperative embolization of intracranial meningiomas. Neurosurgery . 1983; 13 261-268
45 Jungling F D, Wakhloo A K, Hennig J. In vivo proton spectroscopy of meningioma after preoperative embolization. Magn Reson Med . 1993; 30 155-160
46 Grand C, Bank W O, Baleriaux D. Gadolinium-enhanced MR in the evaluation of preoperative meningioma embolization. AJNR Am J Neuroradiol . 1993; 14 563-569
47 Bendszus M, Martin-Schrader I, Warmuth-Metz M, Hofmann E, Solymosi L. MR imaging- and MR spectroscopy-revealed changes in meningiomas for which embolization was performed without subsequent surgery. AJNR Am J Neuroradiol . 2000; 21 666-669
48 Dean B L, Flom R A, Wallace R C. Efficacy of endovascular treatment of meningiomas: evaluation with matched samples. AJNR Am J Neuroradiol . 1994; 15 1675-1680
49 Bendszus M, Rao G, Burger R. Is there a benefit of preoperative meningioma embolization?. Neurosurgery . 2000; 47 1306-1311
50 Koike T, Sasaki O, Tanaka R, Arai H. Long-term results in a case of meningioma treated by embolization alone-case report. Neurol Med Chir (Tokyo) . 1990; 30 173-177
51 Latchaw R E. Preoperative intracranial meningioma embolization: technical considerations affecting the risk-to-benefit ratio. AJNR Am J Neuroradiol . 1993; 14 583-586
52 Jungreis C A. Skull-base tumors: ethanol embolization of the cavernous carotid artery. Radiology . 1991; 181 741-743
53 Hamada J, Kai Y, Nagahiro S. Embolization with cellulose porous beads. II: Clinical trial. AJNR Am J Neuroradiol . 1996; 17 1901-1906
54 Probst E N, Grzyska U, Westphal M, Zeumer H. Preoperative embolization of intracranial meningiomas with a fibrin glue preparation. AJNR Am J Neuroradiol . 1999; 20 1695-702
55 Gruber A, Bavinzski G, Killer M, Richling B. Preoperative embolization of hypervascular skull base tumors. Minim Invas Neurosurg . 2000; 43 62-71
56 de Minteguiaga C, Portier F, Guichard J P. Aneurysmal bone cyst in the sphenoid bone: treatment with minimally invasive surgery. Ann Otol Rhinol Laryngol . 2001; 110 331-334
57 Silvers A R, Som P M, Brandwein M, Chong J L, Shah D. The role of imaging in the diagnosis of giant cell tumor of the skull base. AJNR Am J Neuroradiol . 1996; 17 1392-1395
58 Bemporad J A, Chaloupka J C, Putman C M. Pigmented villonodular synovitis of the temporomandibular joint: diagnostic imaging and endovascular therapeutic embolization of a rare head and neck tumor. AJNR Am J Neuroradiol . 1999; 20 159-162
59 Nall A V, Stringer S P, Baughman R A. Vascular leiomyoma of the superior turbinate: first reported case. Head Neck . 1997; 19 63-67
60 Hughes C A, Wilson W R, Olding M. Giant ameloblastoma: report of an extreme case and a description of its treatment. Ear Nose Throat J . 1999; 78 568
61 Abramowitz J, Dion J E, Jensen M E. Angiographic diagnosis and management of head and neck schwannomas. AJNR Am J Neuroradiol . 1991; 12 977-984