Transarterial Onyx Embolization of Sacral Chordoma: Case Report and Review of the Literature

Department

neurosurgery

Document Type

Article

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. © 2011 Society of NeuroInterventional Surgery. All rights reserved.

Publication Date

2011

Publication Title

Journal of NeuroInterventional Surgery

ISSN

1759-8478

Volume

3

Issue

1

First Page

85

Last Page

87

Digital Object Identifier (DOI)

10.1136/jnis.2010.003020

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