PMID: 18411769Apr 17, 2008Paper

Preoperative embolization and postoperative complications of carotid body tumors

Nihon Jibiinkoka Gakkai kaiho
Shinya MoritaSatoshi Fukuda

Abstract

Carotid body tumors are uncommon neoplasms that arise at the bifurcation of the common carotid artery. Surgical resection is generally recommended, but entails an inherent risk of cranial nerves injury and excessive blood loss. Preoperative embolization has been reported to decrease blood loss and shorten resection time. In this study, we analyzed the benefits of preoperative embolization and the postoperative complications when preoperative embolization was performed. Six patients with seven tumors were treated between 1990 and 2005. Each patient's preoperative evaluation included CT, MRI, US, and angiography, and preoperative embolization was performed in four patients with five tumors. Blood loss, in the patients who underwent preoperative embolization, ranged from 20 ml to 900 ml (mean: 291ml), and operation time ranged from 4 hours 34 minutes to 6 hours 40 minutes (mean: 4 hours 55 minutes). In the group that did not undergo preoperative embolization, blood loss ranged from 642 ml to 1390 ml (mean: 1016 ml), and operation time ranged from 9 hours 48 minutes to 10 hours 45 minutes (mean: 10 hours 17 minutes). Five patients had postoperative cranial nerve dysfunction, and it involved cranial nerve IX in one patient (14.3%), ...Continue Reading

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Citations

Jan 23, 2010·Cardiovascular and Interventional Radiology·Umut OzyerFatih Boyvat
Jan 19, 2012·Nihon Jibiinkoka Gakkai kaiho·Rie ItoHidenori Inohara
May 9, 2012·International Journal of Surgery Case Reports·Jaime D MartinezDavid R Farley
May 2, 2009·Digestive Diseases and Sciences·James H RosingRalph S Greco
Feb 4, 2016·World Journal of Surgical Oncology·Eduardo de Paula MirandaFrancisco Tibor Denes
Jul 17, 2012·Annals of Vascular Surgery·Tian-hua ZhangTatsuo Yamakawa
Feb 22, 2012·Auris, Nasus, Larynx·Hyun-Uk JangJung-Soo Kim
Aug 23, 2011·Journal of Vascular and Interventional Radiology : JVIR·Mario Martínez-GaldámezAntonio Pérez Higueras

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