570 - 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

Poster Presenter(s)

SG

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, France

Author/Co-author(s)

TT

Thierry Thomas, MD, PhD

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

Lucile Grange, MD

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

Hubert Marotte, MD, PhD

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

Jean-Baptiste Pelletier, MD

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

Nicolas Stacoffe, MD

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

Rémi Grange, MD

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