Incidence and predictors of ophthalmic artery occlusion in intra-arterial chemotherapy for retinoblastoma

被引：9

作者：

Sweid, Ahmad ^{[1
]}

El Naamani, Kareem ^{[2
]}

Sajja, Kalyan Chekravarthy ^{[3
]}

Hammoud, Batoul ^{[4
]}

Knapp, Michael D. ^{[5
]}

Moylan, Daniel D. ^{[5
]}

Joffe, Daniel ^{[5
]}

Morse, Charles E. ^{[5
]}

Habbal, Daniel ^{[5
]}

Weinberg, Joshua H. ^{[1
]}

Tjoumakaris, Stavropoula, I ^{[1
]}

Shields, Carol L. ^{[6
]}

Lezama, David A. ^{[6
,7
]}

Lim, Li-Anne S. ^{[6
]}

Dalvin, Lauren A. ^{[8
]}

Rosenwasser, Robert ^{[3
]}

Jabbour, Pascal ^{[1
]}

机构：

[1] Thomas Jefferson Univ, Dept Neurol Surg, Ctr City Campus, Philadelphia, PA 19107 USA

[2] Lebanese Amer Univ, Sch Med, Beirut, Lebanon

[3] Thomas Jefferson Univ, Dept Neurosurg, Ctr City Campus, Philadelphia, PA 19107 USA

[4] CHOP, Dept Endocrinol, Philadelphia, PA USA

[5] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA

[6] Wills Eye Hosp & Res Inst, Ocular Oncol Serv, Philadelphia, PA USA

[7] Tecnol Monterrey, Inst Oftalmol & Ciencias Visu, Monterrey, Mexico

[8] Mayo Clin, Dept Ophthalmol, Rochester, MN USA

来源：

JOURNAL OF NEUROINTERVENTIONAL SURGERY | 2021年 / 13卷 / 07期

关键词：

intervention; tumor; INTRAOCULAR RETINOBLASTOMA; OUTCOMES;

D O I：

10.1136/neurintsurg-2020-016759

中图分类号：

R445 [影像诊断学];

学科分类号：

100207 ;

摘要：

Background Retinoblastoma is the most common primary intraocular malignancy in children. Objective To determine the incidence of ophthalmic artery (OA) occlusion in patients treated with selective ophthalmic artery catheterization (OAC) for chemotherapy infusion for retinoblastoma. Also, to evaluate technical, anatomical, tumorous, and patient-related factors that are predictors of OA occlusion. Methods A retrospective chart review was performed for patients diagnosed with intraocular retinoblastoma and managed with intra-arterial chemotherapy (IAC). Results The total study cohort included 208 retinoblastoma tumors of 208 eyes in 197 consecutive patients who underwent 688 attempted IAC infusions overall with a total of 624 successful OAC infusions. The total incidence of ophthalmic artery thrombosis was 11.1% (23/208). The numbers of successful OAC procedures before diagnosing OA occlusion were one OAC in six cases (27.3%), two in seven cases (31.8%), three in four cases (18.2%), four in one case (4.5%), five in two cases (9.1%), and six in one case (4.5%). Conclusions Local factors relating to the chemotherapy and selective microcatheterization of the OA are essential factors in the development of OA thrombosis, as seen by the association of OA thrombosis with the frequency of IAC.

引用

页码：652 / +

页数：6

共 27 条

[11] First-line intra-arterial versus intravenous chemotherapy in unilateral sporadic group D retinoblastoma: evidence of better visual outcomes, ocular survival and shorter time to success with intra-arterial delivery from retrospective review of 20 years of treatment [J].