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Twenty Years of Experience in Juvenile Nasopharyngeal Angiofibroma (JNA) Preoperative Endovascular Embolization: An Effective Procedure with a Low Complications Rate

by Pietrobon, Giacomo , Baruzzi, Fabio Massimo , Bignami, Maurizio , Terrana, Alberto Vito , Arosio, Alberto Daniele , Turri-Zanoni, Mario , Agosti, Edoardo , Vizzari, Francesco Alberto , Craparo, Giuseppe , Giorgianni, Andrea , Molinaro, Stefano , Castelnuovo, Paolo , Piacentino, Filippo , Volpi, Luca

in Carotid arteries / Catheters / Clinical medicine / Embolization / Endoscopy / Epistaxis / Intubation / Medical imaging / Morbidity / Patients / Polyvinyl alcohol / Surgery / Surgical outcomes / Tumors / Veins & arteries

2021

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Twenty Years of Experience in Juvenile Nasopharyngeal Angiofibroma (JNA) Preoperative Endovascular Embolization: An Effective Procedure with a Low Complications Rate

2021

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Twenty Years of Experience in Juvenile Nasopharyngeal Angiofibroma (JNA) Preoperative Endovascular Embolization: An Effective Procedure with a Low Complications Rate

2021

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Journal Article

Twenty Years of Experience in Juvenile Nasopharyngeal Angiofibroma (JNA) Preoperative Endovascular Embolization: An Effective Procedure with a Low Complications Rate

Pietrobon, Giacomo,

Baruzzi, Fabio Massimo,

Bignami, Maurizio,

Terrana, Alberto Vito,

Arosio, Alberto Daniele,

Turri-Zanoni, Mario,

Agosti, Edoardo,

Vizzari, Francesco Alberto,

Craparo, Giuseppe,

Giorgianni, Andrea,

Molinaro, Stefano,

Castelnuovo, Paolo,

Piacentino, Filippo,

Volpi, Luca

2021

Overview

Juvenile nasopharyngeal angiofibroma (JNA) is a benign tumor of the nasal cavity that predominantly affects young boys. Surgical removal remains the gold standard for the management of this disease. Preoperative intra-arterial embolization (PIAE) is useful for reductions in intraoperative blood loss and surgical complications. In our series of 79 patients who underwent preoperative embolization from 1999 to 2020, demographics, procedural aspects, surgical management and follow-up outcome were analyzed. Embolization was performed in a similar fashion for all patients, with a superselective microcatheterization of external carotid artery (ECA) feeders and an injection of polyvinyl alcohol (PVA) particles, followed, in some cases, by the deployment of coils . Procedural success was reached in 100% of cases, with no complications such as bleeding or thromboembolic occlusion, and surgical intraoperative blood loss was significantly decreased. In conclusion, PIAE is a safe and effective technique in JNA treatment, minimizing intraoperative bleeding.

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MDPI AG,MDPI

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