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JYMS : Journal of Yeungnam Medical Science

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2 "Arterial embolization"
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Case Report
Preoperative arterial embolization of heterotopic ossification around the hip joint
Jin Hyeok Kim, Chankue Park, Seung Min Son, Won Chul Shin, Joo Yeon Jang, Hee Seok Jeong, In Sook Lee, Tae Young Moon
Yeungnam Univ J Med. 2018;35(1):130-134.   Published online June 30, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.1.130
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  • 29 Download
  • 3 Crossref
AbstractAbstract PDF
Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO.

Citations

Citations to this article as recorded by  
  • Embolization followed by resection of the heterotopic hip joint ossification with spinal cord injury
    Takahiro Igei, Satoshi Nakasone, Masato Ishihara, Masamichi Onaga, Kotaro Nishida
    Journal of Orthopaedic Science.2024; 29(1): 454.     CrossRef
  • Preoperative Arterial Embolization for Heterotopic Ossification of the Hip
    Nicolas Papalexis, Giuliano Peta, Costantino Errani, Marco Miceli, Giancarlo Facchini
    Journal of Vascular and Interventional Radiology.2023; 34(4): 608.     CrossRef
  • Neurogenic heterotopic ossification: A review. Part 2
    Vladimir A. Novikov, Alina M. Khodorovskaya, Valery V. Umnov, Evgenii V. Melchenko, Dmitry V. Umnov
    Pediatric Traumatology, Orthopaedics and Reconstructive Surgery.2023; 11(4): 557.     CrossRef
Original Article
The effect of Transarterial Chemoembolization(TAE) on Lung metastasis of Hepatocellular Carcinoma.
Heon Ju Lee, Jong Ryul Eun, Young Doo Song, Chan Won Park
Yeungnam Univ J Med. 2000;17(1):66-74.   Published online June 30, 2000
DOI: https://doi.org/10.12701/yujm.2000.17.1.66
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AbstractAbstract PDF
BACKGROUND
During follow up period after transarterial embolization(TAE), cases of pulmonary metastasis were more prevalent in TAE-treated patients than in TAE-untreated patients. Therefore, a study was conducted to evaluate whether TAE increases the incidence of pulmonary metastasis of hepatocellular carcinoma and to clarify the risk factors for pulmonary metastasis. METHODS: From march 1991 to march 1995, 156 patients who had been diagnosed with hepatocellular carcinoma by serology, and radiographic and histologic method at Yeungnam university hospital were involved in this study. We excluded 12 patients with lung metastasis on initial diagnosis and the others. The remaining 144 patients had been followed up for at least 5 months, and divided into four groups according to lung metastasis and trans-arterial embolization treatment, and evaluated the age, sex, child-pugh score, liver cirrhosis, and the level of AFP. RESULTS: Pulmonary metastasis was found in 18.0% (26/144), of witch 92.3%(24/26) and 7.7%(2/26) of the patients with and without transarterial chemoembolization, respectively. Of thepatients, 23.5% (24/102) with TAE had lung metastais during follow-up periods and 4.7% (2/42) without TAE had lung metastasis. there was more likelihood for lung metastasis after TAE, but there was no difference between two groups in age, sex, child-pugh class, the presence of liver cirrhosis, and AFP. CONCLUSIONS: The incidence of pulmonary metastasis of hepatocellular carcinoma after TAE was higher. child-pugh class was the only related clinical precipitating factors for pulmonary metastasis in TAE in our study. Our results suggest that regular chest X-ray check-up may be more frequently needed by patients who had TAE treatment for hepatocellular carcinoma.

JYMS : Journal of Yeungnam Medical Science