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Middle sacral arteriography: diagnostic and therapeutic implications.

S Kudo, V P Chuang, S Wallace

    Radiology
    |April 1, 1984
    PubMed
    Summary

    Selective middle sacral arteriography aids in diagnosing and treating sacral tumors. This minimally invasive technique offers a safe and effective approach for managing these rare conditions.

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    Area of Science:

    • Vascular anatomy
    • Interventional radiology
    • Oncology

    Background:

    • The middle sacral artery is a small artery arising from the posterior aorta.
    • Its anatomical course and variations are crucial for understanding pelvic and sacral pathologies.
    • Sacral tumors are rare and often require specialized diagnostic and therapeutic approaches.

    Purpose of the Study:

    • To review the anatomy of the middle sacral artery.
    • To evaluate the utility of selective middle sacral arteriography in diagnosing and treating sacral tumors.
    • To assess the safety and efficacy of interventional procedures involving the middle sacral artery.

    Main Methods:

    • Review of anatomical literature concerning the middle sacral artery.
    • Performance of middle sacral arteriography in 8 patients.
    • Transcatheter tumor embolization in 6 patients.
    • Infusion chemotherapy in 1 patient.

    Main Results:

    • No complications were reported during the procedures.
    • Selective middle sacral arteriography provided diagnostic information.
    • Interventional procedures were successfully performed.

    Conclusions:

    • Selective middle sacral arteriography is a valuable tool for the diagnosis of sacral tumors.
    • Interventional techniques like embolization and chemotherapy can be safely delivered via the middle sacral artery.
    • The middle sacral artery serves as a key access route for treating sacral tumors.

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