70 - Safety and Effectiveness of a Combined Simultaneous Approach Using Embolization, Gelified Alcohol Sclerosis, and Vertebroplasty to Treat Aggressive Vertebral Hemangioma: Technique and Preliminary Results

Monday, April 13, 2026

12:10 PM - 1:10 PM ET

Location: Poster Hall: 800 level (under the escelators)

Poster Presenter(s)

Sylvain Grange, MD, PhD

Interventional Radiologist
Department of Radiology, University Hospital of Saint-Etienne, Faculty of Medicine, Jean Monnet University, Mines Saint-Etienne, INSERM, SAINBIOSE U1059, Saint-Etienne, France, Rhone-Alpes, France

Author/Co-author(s)

TT

Thierry Thomas, MD, PhD

Rhumatologist
Department of Rhumatology, University Hospital of Saint Etienne, Saint-Etienne, France., Rhone-Alpes, France
LG

Lucile Grange, MD

Internist
Department of Internal Medicine, University Hospital of Saint Etienne, Rhone-Alpes, France
HM

Hubert Marotte, MD, PhD

Rhumatologist
Department of Rhumatology, University Hospital of Saint Etienne, Avenue Albert Raymond, 42055 Saint-Etienne cedex 2 France, Rhone-Alpes, France
JP

Jean-Baptiste Pelletier, MD

Neurosurgeon
Department of Neurosurgery, University Hospital of Saint Etienne, Avenue Albert Raymond, 42055 Saint-Etienne cedex 2 France, Rhone-Alpes, France
NS

Nicolas Stacoffe, MD

Interventionnal Radiologist
Department of Radiology, Groupement Hospitalier Sud, Hospice Civils de Lyon, Pierre-Bénite, France, Rhone-Alpes, France
RG

Rémi Grange, MD

Interventional Radiologist
CHU Saint-Etienne, Service de Radiologie, Saint-Etienne, France; Universite Jean Monnet Saint-Etienne, France, Rhone-Alpes, France

Purpose: The aim was to evaluate technical success, safety and effectiveness of a non-surgical protocol treatment combining transarterial embolization and percutaneous radiopaque gelified ethanol (RGE) sclerotherapy in a first procedure, followed by vertebroplasty in a second procedure, to treat patients with aggressive vertebral hemangioma (AVH).

Materials and Methods: This retrospective study included a total of 10 patients treated for hemangiomas between September 2022 and March 2024. The 11 hemangiomas were located in the cervical (n=1), thoracic (n=5), lumbar (n=4) or sacrum (n=1). Follow-up included MRIs and medical consultations one year after the final procedure. In all cases, the procedure was technically feasible.

Results: The procedure was safe; one fracture occurred between sclerosis and cementoplasty, probably partly related to the AVH. This procedure proved to be effective, as in all patients, the epiduritis partially regressed on follow-up MRI. 90% of patients noted a reduction or disappearance of pain.

Conclusion: The combination of transarterial embolization and percutaneous sclerotherapy with RGE followed by a second procedure vertebroplasty appears to be technically feasible, safe and early effective. These results need to be confirmed by long-term prospective studies.