Combining selective transarterial embolization and controlled hypotensive anesthesia may reduce operative bleeding during resection of highly vascular tumors.
Hypothesis-generating for bleeding control in vascular tumor resections; prospective trials needed before clinical adoption.
Two contemporary measures, selective transarterial embolization (Almgard et al. 1973) and controlled hypotensive anesthesia (Davis et al. 1974), have been combined in an effort to reduce the risk of operative bleeding in a case of massive bone and muscle resection of a highly vascular carcinoma lesion in the proximal third of the femur. This approach may be helpful in such cases.
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Patel et al. (1977) studied this question.
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