Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Publication Preview--Ahead of Print
    • Past Issue Archive
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • For Authors
  • About Us
    • About AJNR
    • Editors
    • American Society of Neuroradiology
  • Submit a Manuscript
  • Podcasts
    • Subscribe on iTunes
    • Subscribe on Stitcher
  • More
    • Subscribers
    • Permissions
    • Advertisers
    • Alerts
    • Feedback
  • Other Publications
    • ajnr

User menu

  • Subscribe
  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

  • Subscribe
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Publication Preview--Ahead of Print
    • Past Issue Archive
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • For Authors
  • About Us
    • About AJNR
    • Editors
    • American Society of Neuroradiology
  • Submit a Manuscript
  • Podcasts
    • Subscribe on iTunes
    • Subscribe on Stitcher
  • More
    • Subscribers
    • Permissions
    • Advertisers
    • Alerts
    • Feedback
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds
Abstract

Efficacy of endovascular treatment of meningiomas: evaluation with matched samples.

B L Dean, R A Flom, R C Wallace, M H Khayata, N A Obuchowski, J A Hodak, J M Zabramski and R F Spetzler
American Journal of Neuroradiology October 1994, 15 (9) 1675-1680;
B L Dean
Department of Neuroradiology, Cleveland (Ohio) Clinic Foundation.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
R A Flom
Department of Neuroradiology, Cleveland (Ohio) Clinic Foundation.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
R C Wallace
Department of Neuroradiology, Cleveland (Ohio) Clinic Foundation.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
M H Khayata
Department of Neuroradiology, Cleveland (Ohio) Clinic Foundation.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
N A Obuchowski
Department of Neuroradiology, Cleveland (Ohio) Clinic Foundation.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J A Hodak
Department of Neuroradiology, Cleveland (Ohio) Clinic Foundation.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J M Zabramski
Department of Neuroradiology, Cleveland (Ohio) Clinic Foundation.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
R F Spetzler
Department of Neuroradiology, Cleveland (Ohio) Clinic Foundation.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • PDF
Loading

Abstract

PURPOSE To evaluate the clinical efficacy, cost-effectiveness, and safety of presurgical devascularization of meningiomas.

METHODS Matched samples of embolized and nonembolized groups of meningiomas were compared. The study variables for clinical efficacy were estimated blood loss, number of transfusions, surgical resection time, and length of hospitalization. The cost-effectiveness was evaluated by adjusting all hospital costs to 1991 dollar amounts, and adding additional embolization costs and fees to the hospital cost totals for the embolized group. A qualitative comparison of complications was made.

RESULTS All dependent variables evaluating the clinical efficacy of the procedure (estimate blood loss, 533 cc versus 836 cc; number of transfusions, 0.39 units versus 1.56 units; surgical resection time, 305.8 minutes versus 337.5 minutes; and length of hospitalization, 10.6 days versus 15.0 days) displayed trends of higher means in the nonembolized group; however, only the estimated blood loss and number of transfusions variables were significant. The cost-effectiveness of the procedure was not statistically significant. The mean cost was $29,605 for the embolized group and $38,449 for the nonembolized group. There were three major and nine minor complications in the nonembolized group and zero major and six minor complications in the embolized group. There were four additional minor complications caused by the embolization procedure.

CONCLUSION Endovascular devascularization of meningiomas is beneficial for large meningiomas because it diminishes the necessity of intraoperative transfusions and decreases blood loss. The additional day of hospitalization, emolization costs, and costs of complications do not conversely increase treatment costs. There were no major complications or adverse long-term effects caused by the embolization procedure.

  • Copyright © American Society of Neuroradiology
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology
Vol. 15, Issue 9
1 Oct 1994
  • Table of Contents
  • Index by author
Advertisement
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Efficacy of endovascular treatment of meningiomas: evaluation with matched samples.
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Efficacy of endovascular treatment of meningiomas: evaluation with matched samples.
B L Dean, R A Flom, R C Wallace, M H Khayata, N A Obuchowski, J A Hodak, J M Zabramski, R F Spetzler
American Journal of Neuroradiology Oct 1994, 15 (9) 1675-1680;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Efficacy of endovascular treatment of meningiomas: evaluation with matched samples.
B L Dean, R A Flom, R C Wallace, M H Khayata, N A Obuchowski, J A Hodak, J M Zabramski, R F Spetzler
American Journal of Neuroradiology Oct 1994, 15 (9) 1675-1680;
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • 3D-guided direct puncture therapeutic embolization of intracranial tumors
  • Augmentation of N-butyl cyanoacrylate embolization of cranial, head, and neck tumors by simultaneous infusion of 5% dextrose solution
  • Preoperative Onyx embolization of hypervascular head, neck, and spinal tumors. Experience with 100 consecutive cases from a single tertiary center
  • Embolization of Meningiomas: Comparison of Safety between Calibrated Microspheres and Polyvinyl-Alcohol Particles as Embolic Agents
  • Head, neck, and brain tumor embolization guidelines
  • Interventional Neuroradiology of the Head and Neck
  • Assessment of Vasculature of Meningiomas and the Effects of Embolization with Intra-arterial MR Perfusion Imaging: A Feasibility Study
  • Interventional neuroradiology
  • Appropriate Interval between Embolization and Surgery in Patients with Meningioma
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

Similar Articles

Advertisement

News and Updates

  • Lucien Levy Best Research Article Award
  • Thanks to our 2020 Distinguished Reviewers
  • Press Releases

Resources

  • Evidence-Based Medicine Level Guide
  • How to Participate in a Tweet Chat
  • AJNR Podcast Archive
  • Ideas for Publicizing Your Research
  • Librarian Resources
  • Terms and Conditions

Opportunities

  • Share Your Art in Perspectives
  • Get Peer Review Credit from Publons
  • Moderate a Tweet Chat

American Society of Neuroradiology

  • Neurographics
  • ASNR Annual Meeting
  • Fellowship Portal
  • Position Statements

© 2021 by the American Society of Neuroradiology | Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire