The effect of preoperative embolization on surgical outcomes for carotid body tumor resection

Objective: Compare the effects of preoperative embolization for carotid body tumor resection on surgical outcomes to carotid body tumor resections without preoperative embolization. Methods: Single-center retrospective review of all consecutive patients who underwent carotid body tumor resection fro...

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Bibliographic Details
Published in:SAGE open medicine 2021, Vol.9, p.20503121211005229-20503121211005229
Main Authors: Osofsky, Robin, Clark, Ross, Das Gupta, Jaideep, Boyd, Nathan, Olson, Garth, Chavez, LeAnn, Guliani, Sundeep, Langsfeld, Mark, Marek, John, Rana, Muhammad Ali
Format: Article
Language:English
Subjects:
Embolization
Neuroendocrine tumors
Original
Surgical outcomes
Tumors
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Summary:Objective: Compare the effects of preoperative embolization for carotid body tumor resection on surgical outcomes to carotid body tumor resections without preoperative embolization. Methods: Single-center retrospective review of all consecutive patients who underwent carotid body tumor resection from 2001 to 2019. Surgical outcomes with emphasis on operative time (estimated blood loss and cranial nerve injury) of patients undergoing carotid body tumor resection following preoperative embolization were compared to those undergoing resection alone using unpaired Student’s t-test and Fisher’s exact test. Results: Forty-six patients (15% male, mean age 50 ± 15 years) underwent resection of 49 carotid body tumors. Patients undergoing preoperative embolization (n = 20 (40%)) had larger mean tumor size (4.0 ± 0.7 vs 3.2 ± 1 cm, p = 0.006), increased Shamblin II/III tumor classification (18 (90%) vs 22 (76%), p 
ISSN:2050-3121
2050-3121
DOI:10.1177/20503121211005229