Carotid body tumors usually occur as painless mass in the neck and are quite vascular and slow-growing tumors. Diagnosis is based on Doppler ultrasound, computed tomography, magnetic resonance and angiography. Treatment is surgical resection. Cranial nerve damage, vascular injury and bleeding are the most common surgical complications. Selective tumor embolization can be performed preoperatively to reduce tumor vascularity and blood loss during resection. Herein, we report two adult cases presenting with unilateral asymptomatic masses in the neck who were diagnosed with a carotid body tumor and were treated surgically following selective embolization.
Introduction: Abdominal aortic aneurysms represent the majority of all aneurysms of the aorta. Endovascular aneurysm repair (EVAR) is an alternative procedure to surgical repair. Although general and regional anaesthesia are frequently used during EVAR procedures, local anaesthesia has become one of the anaesthesia options for which there is increasing experience. Aim: We reported our EVAR cases in which we routinely used femoral local anaesthesia. Material and methods: Between August 2016 and June 2020, the EVAR procedure was applied to 22 infrarenal abdominal aortic aneurysm patients under femoral local anaesthesia. Open femoral artery access through a groin incision was used in all patients. Patients were followed up for graft-and wound-related complications. Results: The mean age of the patients was 72.59 ±6.6 years (min: 60, max: 84). Mean aneurysm sac diameter was 61.04 ±8.76 mm. Bifurcated stent graft was used in 21 (95.5%) patients. An aorto-uni-iliac stent graft was used for 1 (4.5%) patient due to contralateral total iliac occlusion. Endoleak was observed in 6 patients. In-hospital mortality was observed in 2 patients; both cases were ruptured with haemodynamic instability (9%). Revision in the groin area was performed in 3 (13.6%) patients due to local wound complications. Conclusions: Although the EVAR procedure has been described as a safer and more easily applicable alternative to surgical repair, it is disadvantageous in terms of increasing treatment costs. Anaesthesia preference and incision size with a more minimalist approach can reduce the length of hospital stay and minimize the complications that may occur after the procedure, resulting in decreased costs.
Peripheral pseudoaneurysms mostly occur owing to diagnostic catheterization but rarely owing to blunt or penetrating trauma, infection, or recurrent microtrauma. They appear as a soft pulsatile mass. Complications may occur owing to rupture or distal embolization. Doppler ultrasound and computed tomography are the imaging techniques used in diagnosis. Endovascular interventions and surgery are among the treatment options. In this report, we present two unusually located pseudoaneurysms, one in the superficial palmar arch following penetrating trauma and another in the superficial temporal artery following blunt trauma.
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