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 t...

Full description

Saved in:
Bibliographic Details
Published in:Ear, nose, & throat journal nose, & throat journal, 2002-08, Vol.81 (8), p.536-547
Main Authors: Horowitz, Michael, Whisnant, Richard E., Jungreis, Charles, Snyderman, Carl, Levy, Elad I., Kassam, Amin
Format: Article
Language:English
Subjects:
Adult
Angiography
Balloon Occlusion - methods
Biological and medical sciences
Biopsy, Needle
Care and treatment
Carotid Body Tumor - pathology
Carotid Body Tumor - surgery
Carotid Body Tumor - therapy
Combined Modality Therapy
Ethanol - therapeutic use
Female
Follow-Up Studies
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Immunohistochemistry
Injections, Intralesional
Medical sciences
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Preoperative Care
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Treatment Outcome
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Request full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:0145-5613
1942-7522
DOI:10.1177/014556130208100814