Transarterial Onyx embolization of sacral chordoma: case report and review of the literature. (23rd October 2010)

• Record Type: Journal Article
• Authors: Hu, Yin C; Newman, C Benjamin; Porter, Randall W; Albuquerque, Felipe C
• Is Part Of: Journal of neurointerventional surgery. Volume 3:Number 1(2011)
• Page Start: 85
• Page End: 87
• Publication Date: 2010-10-23
• Subjects: Nervous system -- Surgery -- Periodicals; Cerebrovascular disease -- Surgery -- Periodicals; 617.48
• DOI: 10.1136/jnis.2010.003020
• Languages: English
• ISSNs: 1759-8478

Abstract

Abstract : Aim: To report a successful transarterial Onyx embolization of a highly vascularized sacral chordoma. Case presentation: A 74-year-old patient presented with progressive lower back pain and anorectal and urogenital dysfunction complicated by excessive intraoperative blood loss requiring emergent endovascular intervention. Intervention: Emergent pelvic angiography demonstrated a highly vascularized sacral chordoma. Transarterial embolization with Onyx was performed successfully via a single arterial pedicle, the median sacral artery. Surgical extirpation was achieved with the expected amount of intraoperative blood loss without further complications. Conclusion: Preoperative transarterial Onyx embolization can be performed safely and effectively to assist in the surgical resection of sacral chordomas.