Carotid paragangliomas. Alternatives for presurgical endovascular management

Gaviria, Angelica Maria Ruiz; Ovaez, Edison Ernesto Nuñez; Rodea, Carlos Alberto Saldivar; Sanchez, Aldo Fabrizio Santini

doi:10.1016/j.radcr.2022.07.010

Cited by 3 publications

(1 citation statement)

References 39 publications

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“…Moreover, CBTs remain challenging in intra-operative surgical resection due to the highly vascularized characteristic tumors. Therefore, they require pre-operative transarterial embolization (pre-TAE) to be removed, avoiding blood loss, reducing the operative time during surgery and decreasing the risk of perioperative complications, especially for Shamblin class II/III tumors, the CBTs classification about the carotid vessels [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Safe management of carotid body tumor resection without preoperative embolization: an Ecuadorian high-altitude cities experience

Solis-Pazmino¹,

Pilatuña²,

Tite³

et al. 2022

Journal of Surgical Case Reports

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Carotid body tumors (CBTs) are a neoplasm that affects the carotid glomus. This study aims to improve the management of CBTs in Ecuador. This single-center, retrospective observational study was conducted at the Instituto de la Tiroides y Enfermedades de Cabeza y Cuello (ITECC). We included adults with CBTs, between January 2019 and August 2022. A total of 15 patients with CBTs were included. All patients were females living at high altitudes (>2500 m). In the Shamblin classification, 12 tumors were type II, and 3 were type III. Complete tumor resection was performed in all patients without pre-operative embolization. All patients had benign CBTs with a mean follow-up of 17, 73 months. In a time when the medical cost is high mainly in low-income countries such as Ecuador, further investigation should be undertaken in the form of randomized prospective trials to answer who would benefit from the pre-TAE procedure.

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Section: Introductionmentioning

confidence: 99%

Safe management of carotid body tumor resection without preoperative embolization: an Ecuadorian high-altitude cities experience

Solis-Pazmino¹,

Pilatuña²,

Tite³

et al. 2022

Journal of Surgical Case Reports

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Surgical Management of Carotid Body Tumors: Experience of Two Centers

Pouhin,

Die Loucou,

Malikov

et al. 2024

Annals of Vascular Surgery

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The Role of Internal Carotid Artery Stent in the Management of Skull Base Paragangliomas

Di Micco,

Salcher,

Götz

et al. 2024

Cancers

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Background: After two decades from its introduction in the lateral skull base paraganglioma surgery, the indications and results of preoperative internal carotid artery stenting should be critically assessed. Materials and Methods: Monocentric retrospective study on 26 patients affected by head and neck paragangliomas (19 tympanojugular paragangliomas, 4 carotid body paragangliomas, 3 vagal paragangliomas) preoperatively treated with internal carotid artery stents between 2008 and 2023. The preoperative findings, the intraoperative complications and the final surgical results were analyzed. Results: The stent complication rate was less than 3.1%. Self-expanding highly flexible intracranial nitinol stents were applied. In all cases, it was possible to completely mobilize the internal carotid artery and perform a vascular dissection of the tumor. Gross total tumor resection was possible in 85% of cases. The median follow up was 7.83 y (SD +/− 3.93 y). No local recurrence was observed. Conclusions: The preoperative vascular stent facilitates tumor dissection from the internal carotid artery without risk of vascular damage, helping the surgeon to achieve surgical radicality. The vascular stent is indicated in the case of revision surgeries, circumferential involvement of the vessel and in cases with non-insufficient intracerebral crossflow. Procedural complications, temporary antiplatelet therapy and delay of surgery are the limitations of the procedure.

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Carotid paragangliomas. Alternatives for presurgical endovascular management

Cited by 3 publications

References 39 publications

Safe management of carotid body tumor resection without preoperative embolization: an Ecuadorian high-altitude cities experience

Safe management of carotid body tumor resection without preoperative embolization: an Ecuadorian high-altitude cities experience

Surgical Management of Carotid Body Tumors: Experience of Two Centers

The Role of Internal Carotid Artery Stent in the Management of Skull Base Paragangliomas

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