2023
Preoperative percutaneous Onyx embolization of carotid body paragangliomas with balloon test occlusion.
KELBLOVÁ, Martina, Jiří VANÍČEK, Břetislav GÁL, Jan ROTTENBERG, Martin BULIK et. al.Základní údaje
Originální název
Preoperative percutaneous Onyx embolization of carotid body paragangliomas with balloon test occlusion.
Autoři
KELBLOVÁ, Martina (203 Česká republika, garant, domácí), Jiří VANÍČEK (203 Česká republika, domácí), Břetislav GÁL (203 Česká republika, domácí), Jan ROTTENBERG (203 Česká republika, domácí), Martin BULIK (203 Česká republika, domácí), Petra CIMFLOVÁ (203 Česká republika, domácí) a Tomáš KŘIVKA (203 Česká republika, domácí)
Vydání
FRONTIERS IN NEUROLOGY, LAUSANNE, FRONTIERS MEDIA SA, 2023, 1664-2295
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30230 Other clinical medicine subjects
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.400 v roce 2022
Kód RIV
RIV/00216224:14110/23:00130792
Organizační jednotka
Lékařská fakulta
UT WoS
000980076200001
Klíčová slova anglicky
carotid body tumor; paraganglioma; percutaneous embolization; Onyx; balloon test occlusion
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 11. 7. 2023 09:21, Mgr. Tereza Miškechová
Anotace
V originále
Objectives: The study aims to analyze our first experience with direct percutaneous embolization of carotid body tumors (CBTs) using ethylene-vinyl alcohol copolymer (Onyx) along with balloon test occlusion (BTO).Methods: A retrospective preliminary single-center study was conducted at the Otorhinolaryngology and Head and Neck Surgery Department and the Medical Imaging Department of the University Teaching Hospital. A consecutive series of three patients with CBTs was treated at the local institution between October 2018 and June 2019. All three patients underwent preoperative percutaneous embolization using ethylene-vinyl alcohol copolymer (Onyx 18) with the addition of BTO. Outcome measures were the percentage of tumor devascularization, intraoperative blood losses, and operation times. BTO was evaluated by clinical neurological examination and neurosonological transcranial Doppler examination of the middle cerebral artery (MCA).Results: Devascularization of all three tumors was complete or near complete. All three tumors were surgically extirpated with excellent surgical outcomes. The blood losses were minimal, and the average operation time was 2 h and 8 min. BTO was positive in one patient, which was valuable additional information on carotid branches ligation limitations. The other two patients showed negative BTOs with the result of safety of eventual carotid arteries ligations.Conclusion: Preoperative direct percutaneous embolization of CBT with Onyx is a highly effective procedure that significantly facilitates surgery. BTO provides valuable additional information on the most appropriate and safe surgical approach.