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Iskalni niz: "avtor" (Tomaž Šeruga) .

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Treatment of tongue cavernous haemangioma with direct puncture and sclerotization with ethanol
Tomaž Šeruga, Jernej Lučev, Marko Jevšek, 2015, strokovni članek

Povzetek: Background. Haemangiomas of tongue are rare type of malformations. They can be treated mostly conservatively but in some cases they need more aggressive treatment with preoperative intra arterial embolization and surgical resection. Lesions of tongue that are localized superficially can also be treated with direct puncture and injection of sclerosing agent (absolute ethanol). Case report. We present a case of a 48 years old female patient, where we performed embolization of cavernous haemangioma with mixture of absolute ethanol and oil contrast. After the procedure the patient received analgetics and antioedematous therapy. After the sclerotization the planed surgery was abandoned. Control MRI examinations 6 and 12 months after the procedure showed only a small remnant of haemangioma and no signs of a larger relapse. Conclusion. In our case the direct puncture of haemangioma and sclerotherapy with ethanol proved to be a safe and effective method to achieve preoperative devascularization of the lesion. Direct puncture of the lesion is not limited by the anatomy of the vessels or vasospasm, which can occur during the intra-arterial approach.
Objavljeno v DiRROS: 23.04.2024; Ogledov: 52; Prenosov: 30
.pdf Celotno besedilo (736,73 KB)
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Endovascular treatment of intracranial arteriovenous malformations
Tomaž Šeruga, 2002, izvirni znanstveni članek

Povzetek: Background. The aim of the study was the introduction of endovascular treatment of cerebral arteriovenous malformations (AVM) with superselective embolization with polymerisation agent. Case reports. Endovascular embolization was performed in five patients with cerebral AVMs. Three of these patients were presented with intracerebral haemathomas whereas in other two patients, cerebral AVM was an incidental finding. Superselective catheterisation of AVMs was performed and acrylic glue was selectively injected into the nidus. Conclusions. Control cerebral angiography after embolization of AVM showed different results. In one patient, AVM was totally occluded after three sessions and in the second case AVM was occluded in a single session. The rate of occlusion in other two cases was estimated between 70% in 80%. Both of these two patients underwent surgery. One patient is still in the process of treatment. Endovascular treatment of cerebral AVMs with superselective embolization with liquid cyanoacrilyc adhesive agent is a safe and effective alternative treatment paths next to microsurgery. Endovascular tratment in combination with radiosurgery could become the method of choice in the therapy of cerebral AVMs in the future.
Objavljeno v DiRROS: 31.01.2024; Ogledov: 136; Prenosov: 27
.pdf Celotno besedilo (106,45 KB)

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