Behandlung eines Glomus caroticum mit perkutaner Embolisation und Ultraschallschere [Percutaneous embolization and ultrasound scissors for removal of a carotid body tumor]

Details

Serval ID
serval:BIB_5ECEF8BA8C25
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Behandlung eines Glomus caroticum mit perkutaner Embolisation und Ultraschallschere [Percutaneous embolization and ultrasound scissors for removal of a carotid body tumor]
Journal
HNO
Author(s)
Venara-Vulpe I.I., Morisod B., Morand G.B., Zerlauth J.B., Simon C.
ISSN
1433-0458 (Electronic)
ISSN-L
0017-6192
Publication state
Published
Issued date
12/2016
Peer-reviewed
Oui
Volume
64
Number
12
Pages
917-921
Language
german
Abstract
Paragangliomas are highly vascularized usually benign neoplasms originating from the sympathoadrenal and parasympathetic paraganglia of the autonomic nervous system. When resectable, the management of these tumors consists of surgical ablation preceded by transarterial embolization. The aim of this article is to describe a novel treatment strategy combining intralesional percutaneous embolization with dissection using ultrasound scissors. The case of a 74-year-old women presenting with a Shamblin type III carotid body paraganglioma is presented. The combined approach of percutaneous embolization and ultrasound scissors permitted complete resection of the tumor with preservation of both the internal and external carotid artery, without postoperative cranial nerve deficits and with minimal blood loss. Preoperative intralesional embolization with a liquid embolic agent less than 24 h prior to surgical intervention in combination with ultrasound scissors appears to be an excellent strategy for surgical management of carotid body paragangliomas.

Pubmed
Create date
24/11/2016 11:06
Last modification date
20/08/2019 14:16
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