Temporary balloon occlusion and ethanol injection for preoperative embolization of carotid-body tumor

We report on the preoperative embolization of a carotid-body paraganglioma by temporary balloon occlusion and ethanol injection. Complete devascularization was achieved without complication. Resection after a short postembolization interval required artery sacrifice. Histologic evaluation revealed that the tumor contained diffuse ethanol-induced microemboli. Compared with unembolized and polyvinyl-alcohol-embolized carotid-body paragangliomas, our technique resulted in no greater adverse effects on the tumor-vessel interface. This procedure is an effective and promising method of preoperative embolization of carotid-body tumors and warrants further experience and study. In this article, we also review the literature on carotid-body tumor embolization and ethanol embolization.

Download Full-text

Preoperative Embolization in Carotid Body Tumor Surgery: Is it Required?

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348941011900501 ◽

2010 ◽

Vol 119 (5) ◽

pp. 279-283 ◽

Cited By ~ 42

Author(s):

Daniel M. Zeitler ◽

Joelle Glick ◽

Gady Har-El

Keyword(s):

Carotid Body ◽

Carotid Body Tumor ◽

Preoperative Embolization ◽

Tumor Surgery

Download Full-text

Outcome of Surgical Treatment for Carotid Body Tumors in Different Shambling Type Without Preoperative Embolization: A Single-Center Retrospective Study

Annals of Vascular Surgery ◽

10.1016/j.avsg.2019.08.088 ◽

2020 ◽

Vol 63 ◽

pp. 325-331 ◽

Cited By ~ 4

Author(s):

Tonglei Han ◽

Shiying Wang ◽

Xiaolong Wei ◽

Yongfu Xie ◽

Yudong Sun ◽

...

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Carotid Body ◽

Preoperative Embolization ◽

Single Center ◽

Carotid Body Tumors

Download Full-text

Effective, same‐day preoperative embolization and surgical resection of carotid body tumors

Head & Neck ◽

10.1002/hed.25805 ◽

2019 ◽

Vol 41 (9) ◽

pp. 3159-3167

Author(s):

Kartsunori Katagiri ◽

Kiyoto Shiga ◽

Aya Ikeda ◽

Daisuke Saito ◽

Shin‐ichi Oikawa ◽

...

Keyword(s):

Surgical Resection ◽

Carotid Body ◽

Preoperative Embolization ◽

Carotid Body Tumors

Download Full-text

A glomus caroticum paragangliomája és ellátása

Orvosi Hetilap ◽

10.1556/650.2018.31078 ◽

2018 ◽

Vol 159 (36) ◽

pp. 1487-1492

Author(s):

Krisztián Gál ◽

Ifeoluwa Apanisile ◽

István Lázár ◽

Tünde Blaskó ◽

Tamás Karosi

Keyword(s):

Physical Examination ◽

Carotid Body ◽

Gold Standard ◽

Neck Mass ◽

Carotid Body Tumor ◽

Surgical Removal ◽

Digital Substraction Angiography ◽

Glomus Caroticum ◽

Pulsatile Mass ◽

Carotid Body Tumors

Abstract: Our goal was to report a 44-year-old woman with carotid body tumor, and to give a brief and comprehensive presentation about the disease and summarize its complex management. Carotid body tumor is a rare, mostly sporadic, benign head and neck mass originating from the glomus caroticum. It occurs mostly in middle-aged women as a slowly growing, semifix, painless neck mass. The diagnosis is based upon the physical examination (pulsatile mass, Fontaine-sign) and – as the gold standard – CT-angiography. It should be established that preoperative embolisation by digital substraction angiography plays a crucial role in the treatment of carotid body tumors that should be followed by surgical removal. In case of inoperable/irresecable and residual tumors, radiotherapy is the treatment option. The patient was treated in our department in April 2017. Orv Hetil. 2018; 159(36): 1487–1492.

Download Full-text

Malignant carotid body tumor presenting with myelopathy: case report

Journal of Neurosurgery Spine ◽

10.3171/2015.8.spine13483 ◽

2016 ◽

Vol 24 (4) ◽

pp. 660-663 ◽

Cited By ~ 1

Author(s):

Dhruve S. Jeevan ◽

Mohamed Saleh ◽

Michael LaBagnara ◽

Jayson A. Neil ◽

Virany H. Hillard

Keyword(s):

Carotid Body ◽

Case Reports ◽

Management Strategies ◽

Carotid Body Tumor ◽

Vertebral Metastases ◽

Vertebral Metastasis ◽

Rare Presentation ◽

Regional Lymph Nodes ◽

Carotid Body Tumors ◽

Management Challenge

Malignant carotid body tumors are rare, with spread of the tumor mostly noted in regional lymph nodes. Vertebral metastases are an exceedingly rare presentation, only reported in isolated case reports, and present a diagnostic and management challenge. A case of widespread vertebral metastasis, presenting with myelopathy, from a carotid body tumor is discussed in this paper, along with management strategies.

Download Full-text

Carotid body tumors managed with preoperative embolization

Journal of Neurosurgery ◽

10.3171/jns.1983.59.5.0867 ◽

1983 ◽

Vol 59 (5) ◽

pp. 867-870 ◽

Cited By ~ 33

Author(s):

Lawrence F. Borges ◽

Roberto C. Heros ◽

Gerard DeBrun

Keyword(s):

Carotid Body ◽

Preoperative Embolization ◽

Tumor Vascularity ◽

Content Type ◽

Carotid Body Tumors ◽

Surgical Extirpation ◽

Fine Print

✓ Two patients with large vascular carotid body tumors underwent preoperative intravascular embolization of the major arterial feeders. The tumor vascularity was reduced markedly, and complete surgical extirpation was accomplished without difficulty. The literature on carotid body tumors is briefly reviewed. The role of preoperative embolization in the treatment of these difficult tumors is emphasized.

Download Full-text