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Preliminary Report

Bahij S. Salibi, MD; Cesar N. Reyes, MD

AMA Arch Surg. 1970;101(4):539-540.

Abstract
A standard technique for removal of arteriovenous malformations is adaptable to some meningiomas. This consists of first clipping and dividing the feeding arteries, thereby allowing partial shrinkage of the tumor by drainage of blood contained in its vascular channels. Cleavage planes are then developed and the tumor removed in toto, with ligation and division of its draining veins at the very end. This obviates the need for the usual piecemeal removal and its attendant blood loss. This technique is not applicable to all meningiomas but only to those in which the feeding arteries can be localized in the preoperative angiograms. When applicable, it may be particularly helpful in poor-risk patients whose tolerance for blood loss is limited. Three such cases are presented, with good results.

Author Affiliations
Marshfield, Wis

From the Marshfield Clinic and Marshfield Clinic Foundation for Medical Research and Education, Marshfield, Wis (Drs. Salibi and Reyes), and the University of Wisconsin Medical School, Madison (Dr. Salibi).

Footnotes
Accepted for publication May 21, 1970.

Reprint requests to Marshfield Clinic, Marshfield, Wis 54449 (Dr. Salibi).

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