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Preoperative Embolization of Meningiomas

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Meningiomas

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Surgical excision of hypervascular meningiomas and other central nervous system (CNS) tumors is associated with the potential for significant, sometimes catastrophic, blood loss. The need to mitigate intraoperative tumoral hemorrhage and thereby reduce the morbidity and mortality associated with surgical resection has fostered the refinement of neuroen-dovascular techniques for the preoperative embolization of tumors. Since these techniques were first described in the early 1970s, the field has matured rapidly with advances in microcatheter technology and ongoing improvements in the design of embolisates. Nonetheless, the tenets fundamental to embolization of tumors, particularly a thorough understanding of the associated neurovascular anatomy, are not novel. This chapter describes embolization techniques, reviews key angioarchitectural features of meningiomas, and offers caveats to minimize complications.

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Authors and Affiliations

  1. Department of Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA

    David J. Fiorella

  2. Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA

    Vivek R. Deshmukh, Cameron G. McDougall, Robert F. Spetzler & Felipe C. Albuquerque

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  1. David J. Fiorella
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  2. Vivek R. Deshmukh
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  3. Cameron G. McDougall
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  4. Robert F. Spetzler
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  5. Felipe C. Albuquerque
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Editors and Affiliations

  1. Brain Tumor & Neuro-Oncology Center, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA

    Joung H. Lee

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© 2009 Springer-Verlag London Limited

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Fiorella, D.J., Deshmukh, V.R., McDougall, C.G., Spetzler, R.F., Albuquerque, F.C. (2009). Preoperative Embolization of Meningiomas. In: Lee, J.H. (eds) Meningiomas. Springer, London. https://doi.org/10.1007/978-1-84628-784-8_9

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  • DOI: https://doi.org/10.1007/978-1-84628-784-8_9

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-910-7

  • Online ISBN: 978-1-84628-784-8

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