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Transarterial Embolization of Bone Metastases
1Division of Interventional Radiology, Department of Radiology, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA.
Techniques in Vascular and Interventional Radiology
|March 8, 2023
Summary
Embolization of hypervascular bone metastases before surgery reduces bleeding and improves outcomes. This interventional radiology technique also offers local tumor control and pain relief for patients.
Area of Science:
- Interventional Radiology
- Oncology
- Orthopedic Surgery
Background:
- Bone metastases, particularly from hypervascular tumors, often require intervention.
- Surgical resection is common, but associated hemorrhage can be significant.
- Effective management strategies are needed to improve patient outcomes and quality of life.
Approach:
- Review of indications for embolization of bone metastases.
- Discussion of technical considerations for performing embolization safely and effectively.
- Analysis of embolic materials and procedural techniques.
Key Points:
- Embolization prior to surgery significantly decreases perioperative hemorrhage.
- Improved surgical outcomes are observed following embolization.
- Potential for local tumor control and reduction in cancer-related bone pain.
Conclusions:
- Embolization is a valuable tool in managing hypervascular bone metastases.
- Careful technique and material selection are crucial for success and complication avoidance.
- Further case examples illustrate the application and benefits of this procedure.

