Middle meningeal artery occlusion for intra-arterial chemotherapy of retinoblastoma.

Détails

ID Serval
serval:BIB_0CFE9691F926
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Middle meningeal artery occlusion for intra-arterial chemotherapy of retinoblastoma.
Périodique
Interventional neuroradiology
Auteur(s)
Bartolini B., Puccinelli F., Hajdu S.D., Stathopoulos C., Beck-Popovic M., Munier F.L., Saliou G.
ISSN
2385-2011 (Electronic)
ISSN-L
1591-0199
Statut éditorial
Publié
Date de publication
06/2019
Peer-reviewed
Oui
Volume
25
Numéro
3
Pages
335-337
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
We report the intentional occlusion of the middle meningeal artery arising from the lacrimal artery, a novel technique to improve drug delivery in a 14-month-old boy with a history of right sporadic unilateral cavitary retinoblastoma group D. The patient was referred to our institution for intra-arterial chemotherapy after two systemic chemotherapy treatments. The digital subtraction angiography showed a large middle meningeal artery arising from the right lacrimal artery and decrease choroidal enhancement thus decreased flow to the tumor. The ophthalmological examination after the first intra-arterial chemotherapy observed no tumor regression. Assuming a vascular steal, in the second intra-arterial chemotherapy session, the origin of the middle meningeal artery was occluded. Following this treatment, a significant response was observed at ophthalmological follow up. In the presented case, the efficacy of intra-arterial chemotherapy was improved after occlusion of a meningeal branch arising from the lacrimal artery, which was responsible for the vascular steal.
Mots-clé
Intra-arterial chemotherapy, ophthalmic artery, retinoblastoma
Pubmed
Web of science
Création de la notice
13/12/2018 16:50
Dernière modification de la notice
20/08/2019 12:34
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