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Published on: June 26, 2020

Neurologic complications after particle embolization of intracranial meningiomas

Martin Bendszus1, Camelia Maria Monoranu, Ansgar Schütz

  • 1Department of Neuroradiology, University of Würzburg, Germany.

AJNR. American Journal of Neuroradiology
|June 16, 2005
PubMed
Abstract

Insights

Particle embolization for brain tumors (meningiomas) carries risks of stroke and bleeding. Careful consideration of the benefits versus these potential complications is essential for patient care.

Area of Science:

  • Neurosurgery
  • Neuroradiology
  • Vascular Interventional Radiology

Background:

  • Preoperative embolization is a common procedure for meningiomas.
  • It aims to simplify surgical removal and minimize blood loss during surgery.

Purpose of the Study:

  • To determine the incidence of neurological complications associated with particle embolization of intracranial meningiomas.
  • To assess complications occurring during and after the embolization procedure.

Main Methods:

  • A retrospective analysis of 185 patients who underwent particle embolization for intracranial meningiomas between 1996 and 2004.
  • Superselective catheterization of tumor-feeding arteries followed by embolization with spherical particles under systemic heparinization.

Main Results:

  • A total of 6.4% of patients experienced procedure-related neurologic complications.
  • Ischemic events (stroke) occurred in 3.2% of patients (2 with amaurosis, 4 with hemiparesis).
  • Hemorrhagic complications also occurred in 3.2% of patients, with one fatality due to massive hemorrhage.

Conclusions:

  • Particle embolization of meningiomas is linked to significant risks of both ischemic and hemorrhagic complications.
  • The decision to proceed with embolization requires a thorough evaluation of the individual patient's risk-benefit profile.

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