Successful devascularization of carotid body tumors by covered stent placement in the external carotid artery.
Management of highly vascular carotid body tumors can involve pre-operative percutaneous embolization before definitive surgical resection. This step reduces tumor size, reduces operative blood loss, and makes for a less hazardous dissection with the goal of reducing morbidity and mortality. The effectiveness of a recently described technique of interrupting vascular supply via covered stent placement in the external carotid artery is further described in a series of three recent cases. This technique may be useful for large tumors with a primary blood supply from the external carotid since it avoids the intracranial embolic risk of coils used for this purpose.
Scanlon
James M
JM
Department of Surgery, Division of Vascular Surgery, Georgetown University and Washington Hospital Center, Washington, DC 20007, USA. jmscanlon9@mac.com
Lustgarten
Jacob J
JJ
Karr
Stewart B
SB
Cahan
Jules I
JI
D000328:Adult; D000368:Aged; D021721:Balloon Occlusion / Q000295:instrumentation; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002342:Carotid Artery, External / Q000000981:diagnostic imaging / Q000601:surgery*; D002345:Carotid Body Tumor / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D015607:Stents; D016896:Treatment Outcome