Beneficial Effects of Preoperative Embolization on the Shamblin Type Ⅱ/Ⅲ Carotid Body Tumor Surgery
- VernacularTitle:术前经导管动脉栓塞对Shamblin Ⅱ/Ⅲ型颈动脉体瘤切除术的影响
- Author:
Xiang-guo KONG
1
;
Nan LI
2
;
Jian-yong YANG
2
;
Yong-hui HUANG
2
Author Information
1. Department of Radiology， Linyi People’s Hospital， Linyi， 260000
2. Department of Interventional Radiology， The First Affiliated Hospital， Sun Yat-sen University， Guangzhou 510080， China
- Publication Type:Journal Article
- Keywords:
carotid body tumor;
preoperative transarterial embolization;
Shamblin classification;
surgical resection
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2021;42(2):287-293
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the feasibility and efficacy of preoperative arterial embolization （Pre-TAE） on Ⅱ/Ⅲ carotid body tumors （CBTs） surgical resection. MethodsThis retrospective study reviewed 100 cases of CBTs in the First Affiliated Hospital， Sun Yat-sen University from Jan 2010 to Jan 2020， which underwent surgical resection for CBTs. According to whether receiving the pre-TAE， the patients were classified into the embolization group （EG） and non-embolization group （NEG）. Tumor classification was performed as the Shamblin classification. The demographic， clinical features， and the operative and post-operative information about the patients were retrieved from the patient records. ResultsThe average tumor sizes were （Ⅱ： 40.91 vs. 37.32 mm， P > 0.05； Ⅲ： 63.58 vs. 65.75 mm， P > 0.05） for EG and NEG. The mean operative time （Ⅱ： 184.66 vs. 230.74 mins， P > 0.05； Ⅲ： 288.50 vs. 332.75 mins， P > 0.05） and intraoperative blood loss （Ⅱ： 100 vs. 100 mL， P > 0.05； Ⅲ： 750 vs. 1 000 mL， P > 0.05） were less in the EG patients. The incidence of revascularization required （Ⅱ： 28% vs. 32%， P > 0.05； Ⅲ： 58% vs. 100%， P > 0.05） and total complications （Ⅱ： 22% vs. 47%， P =0.026； Ⅲ： 50% vs. 75%， P > 0.05） were lower in the EG when compared with NEG. ConclusionsCBTs can be surgically resected safely and effectively with a need for pre-TAE. Resection patients who received pre-TAE had lower blood loss and shorter duration of operation. The rates of adverse events， revascularization were also lower for patients who had pre-TAE compared to those who did not. The larger the tumor size， the greater the surgical benefit of pre-TAE.
