Preoperative embolization for paraganglioma.
We have applied a new method of preoperative embolization to an intravagal and to carotid body paraganglioma, using estrogen dissolved in absolute alcohol and polyvinyl alcohol particles, which diffusely embolizes vessels from capillaries to main feeders. Total resection of the tumors after embolization was successively performed without postoperative complications; total blood loss was 205 and 130 ml, respectively, and the surgical time was approximately 3 hours in both cases. The technique, characteristics, and advantages of this method are discussed.
Higo
R
R
Department of Otolaryngology, University of Tokyo, Japan.
Asai
M
M
Sugasawa
M
M
Takeuchi
N
N
Nemoto
S
S
D000792:Angiography; D002345:Carotid Body Tumor / Q000000981:diagnostic imaging / Q000601:surgery*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D004966:Estrogens, Conjugated (USP) / Q000008:administration & dosage; D005260:Female; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010235:Paraganglioma / Q000000981:diagnostic imaging / Q000601:surgery*; D011142:Polyvinyl Alcohol / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D014630:Vagus Nerve / Q000098:blood supply / Q000601:surgery
D004966:Estrogens, Conjugated (USP); D011142:Polyvinyl Alcohol