title: [Percutaneous embolization and ultrasound scissors for removal of a carotid body tumor].
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.
authors.affiliation: Klinik für Otorhinolaryngologie, Hals- und Gesichtschirurgie, Universitätsspital Lausanne (CHUV), Bugnon 21, 1006, Lausanne, Schweiz.
authors.forename: I I
authors.initials: II
authors.lastname: Venara-Vulpe
authors.affiliation: Klinik für Otorhinolaryngologie, Hals- und Gesichtschirurgie, Universitätsspital Lausanne (CHUV), Bugnon 21, 1006, Lausanne, Schweiz.
authors.forename: B
authors.initials: B
authors.lastname: Morisod
authors.affiliation: Klinik für Otorhinolaryngologie, Hals- und Gesichtschirurgie, Universitätsspital Lausanne (CHUV), Bugnon 21, 1006, Lausanne, Schweiz.
authors.forename: G B
authors.initials: GB
authors.lastname: Morand
authors.affiliation: Klinik für diagnostische und interventionelle Radiologie, Universitätsspital Lausanne (CHUV), Lausanne, Schweiz.
authors.forename: J-B
authors.initials: JB
authors.lastname: Zerlauth
authors.affiliation: Klinik für Otorhinolaryngologie, Hals- und Gesichtschirurgie, Universitätsspital Lausanne (CHUV), Bugnon 21, 1006, Lausanne, Schweiz. Christian.Simon@chuv.ch.
authors.forename: C
authors.initials: C
authors.lastname: Simon
mesh_terms: D000368:Aged; D002345:Carotid Body Tumor / Q000175:diagnosis* / Q000628:therapy*; D003131:Combined Modality Therapy / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D057086:High-Intensity Focused Ultrasound Ablation / Q000379:methods*; D006801:Humans; D016896:Treatment Outcome
keywords: Carotid artery; Carotid body tumor; Dissection; Neuroendocrine tumors; Paraganglioma