Document Detail


Vascular lesions of the skull base: endovascular prospective for the otolaryngologist.
MedLine Citation:
PMID:  16005729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
With continual advances being made in endovascular equipment and techniques, the role that these image-guided, minimally invasive therapies play in the multidisciplinary management of vascular lesions of the skull base will probably continue to expand. The introduction of emerging technologies, including the development and implementation of implantable bioactive devices such as drug-eluting stents, bioactive embolic coils, and bioactive particulate embolic materials, will provide an increasing array of options for these patients. This article has reviewed the basic concepts of embolization and revascularization for vascular lesions of the skull base encountered by the practicing otolaryngologist. These concepts can provide a framework for collaboration between the otolaryngologist and neuroendovascular operator in a cooperative approach to these patients. The importance of detailed knowledge of the vascular anatomy of the skull base when dealing with these lesions, the concept of dangerous anastomoses, several clinically useful classification schemes for these lesions, and basic endovascular techniques of embolization and revascularization have been highlighted.
Authors:
David H Robinson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Otolaryngologic clinics of North America     Volume:  38     ISSN:  0030-6665     ISO Abbreviation:  Otolaryngol. Clin. North Am.     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-11     Completed Date:  2005-09-13     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0144042     Medline TA:  Otolaryngol Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  737-71     Citation Subset:  IM    
Affiliation:
Vascular Center, Section of Interventional Radiology, Department of Radiology, Virginia Mason Medical Center, 1100 Ninth Avenue, Seattle, WA 98101, USA. raddhr@vmmc.org
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MeSH Terms
Descriptor/Qualifier:
Arteriosclerosis / surgery
Central Nervous System Vascular Malformations / surgery*
Embolization, Therapeutic*
Glomus Jugulare Tumor / surgery
Humans
Intracranial Aneurysm / surgery
Paraganglioma / surgery
Skull Base* / blood supply
Skull Base Neoplasms / surgery*
Tissue Adhesives / therapeutic use
Tympanic Membrane / pathology
Chemical
Reg. No./Substance:
0/Tissue Adhesives

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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