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Selective arterial embolisation in aneurysmal bone cysts

N Misasi, F Cigala, V Iaccarino

    International Orthopaedics
    |January 1, 1982
    PubMed
    Summary
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    Selective arterial embolism effectively treats aneurysmal bone cysts in the pelvis and knee. This minimally invasive procedure shows promising 2-year results, arresting lesions and providing complete pain relief without surgery.

    Area of Science:

    • Orthopedics
    • Vascular Surgery
    • Interventional Radiology

    Background:

    • Aneurysmal bone cysts (ABCs) are benign, expansile bone lesions often presenting with pain and potential for pathological fracture.
    • Traditional management of ABCs includes surgical curettage or resection, which can be associated with significant morbidity.

    Observation:

    • This study describes the treatment of three patients diagnosed with aneurysmal bone cysts.
    • Two patients had lesions involving the pelvis, and one patient had a lesion in the knee.

    Findings:

    • Selective arterial embolism was employed as a minimally invasive treatment modality for these ABCs.
    • A promising 2-year follow-up demonstrated radiological arrest of the lesions, evidenced by increased cyst wall density and intra-cystic new bone formation.

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  • All patients experienced complete pain relief, obviating the need for surgical intervention.

    • Implications:

    • Selective arterial embolism represents a viable and effective alternative to surgery for managing aneurysmal bone cysts.
    • This endovascular approach offers potential benefits including reduced invasiveness, faster recovery, and preservation of joint function.
    • Further research with larger cohorts is warranted to solidify the long-term efficacy and safety of this treatment for ABCs.