An analysis from the CAPACITY database of outcomes of preoperative embolization before carotid body tumor surgery compared with resection alone

González-Urquijo, Mauricio; Hinojosa-González, David Eugenio; Viteri-Pérez, Victor Hugo; Llausas-Villarreal, Alejandro; Becerril-Gaitan, Andrea; Fabiani, Mario Alejandro; Enríquez-Vega, María Elizabeth; Guzmán, Ivan Walter Soto Vaca; Ameller, Gregorio Eloy Valda; García-Pérez, José de Jesús; Vaquero-Puerta, Carlos; Jaramillo-Vergara, Victor Hugo; Cisneros-Tinoco, Miguel Angel; Santoscoy-Ibarra, Joaquin Miguel; Figueroa, Edgar Geovanny Cárdenas; Rojas, Verónica Elizabeth Borja; Ramos, Ingrid Valeria Salinas; Gonzalez-Valladares, Alfonso Juan; Perez, Aneiva Claudia Katherine; Bañuelos-Gutierrez, Gael; Palafox, Jesus Isaias Garcia; Gardeazabal-Diaz, Gregorio Fernando; Aldayuz, César Armando López; Barajas-Colón, José Ángel

doi:10.1016/j.jvs.2023.01.012

Cited by 8 publications

(3 citation statements)

References 22 publications

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“…Regarding PE, recent debates have arisen, with some authors [16][17][18] advocating for its use due to reported reductions in blood loss and postoperative hematomas. Conversely, others [19][20][21][22] have highlighted a potential association with longer hospital stays.…”

Section: Discussionmentioning

confidence: 99%

“…However, most PE studies exhibit retrospective designs, limiting their ability to account for confounding factors, such as tumor characteristics. [16][17][18][19][20][21][22] In our center, PE is not performed in any cases since adopting the RCD technique in 2007. Hence, only one patient (0.7%) underwent PE for a Shamblin III CBT prior to referral to our center and a cerebellar stroke occurred afterwards; however, the tumor remained unchanged.…”

Section: Discussionmentioning

confidence: 99%

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Retrocarotid dissection technique compared to the caudocranial approach for the surgical treatment of carotid body tumors: A 15-year experience

Bobadilla-Rosado,

Anaya-Ayala,

Santos-Chavez

et al. 2024

Vasc Med

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Introduction: Carotid body tumors are rare neoplasms with malignant potential. We aim to follow up on our initial experience published in 2015 and compare the occurrence of complications and postoperative outcomes with the use of retrocarotid dissection (RCD) against the standard caudocranial (SCCD) technique. Methods: This was an observational, case–control study in which we analyzed all of the carotid body tumor resections performed from 1986 to 2022. Parametric and nonparametric tests were used accordingly. Statistical analysis was performed on Stata 17. Results: A total of 181 surgical procedures were included, mean age was 56 years (± 13.63), and 168 (93%) were performed in women. The mean medio-lateral diameter was larger in the RCD group (2.85 ± 1.57 cm vs 1.93 ±1.85 cm; p = 0.002) and presurgical embolization was more frequently performed in the SCCD group (27.5% vs 0.7%; p < 0.001). A total of 40 (22.09%) resections were performed using the SCCD technique. In contrast, in 141 (77.91%) procedures the RCD technique was used. The mean surgical time in the RCD group was lower (197.37 ± 70.56 min vs 232 ± 98.34 min; p = 0.01). No statistically significant difference was found between SCCD and RCD in terms of vascular lesions ( n = 20 [11.04%], 15% vs 9%, respectively; p = 0.36), transient or permanent nerve injuries (25% vs 33%, respectively; p = 0.31), or mean intraoperative bleeding (SCCD: 689.95 ± 680.05 mL vs RCD: 619.64 ± 837.94 mL; p > 0.05). Conclusions: RCD appears to be a safe and equivalent alternative to the standard caudocranial approach in terms of intraoperative bleeding or vascular lesions, with a sustained, significant decrease in surgical time.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Retrocarotid dissection technique compared to the caudocranial approach for the surgical treatment of carotid body tumors: A 15-year experience

Bobadilla-Rosado,

Anaya-Ayala,

Santos-Chavez

et al. 2024

Vasc Med

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show abstract

“…Although much debate has centered on whether preoperative embolization is useful in CBT resection in general, a recent large propensity-matched analysis suggested that doing so significantly reduces operative blood loss. 9 In addition, studies suggest that as the time between preoperative tumor embolization and excision increases, both the blood loss and the operative time increase. 10 Regarding excision of giant CBTs specifically, using Onyx for preoperative embolization at a 48-hour time point before excision has previously been described with good results.…”

Section: Discussionmentioning

confidence: 99%

Five-year outcome of a staged giant Shamblin type III carotid body tumor excision

Dittman,

Ghodke,

Moe

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

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Preoperative Direct Puncture Embolization Using a Nonadhesive Ethylene Vinyl Alcohol (EVOH) Liquid Embolic Agent for Head and Neck Paragangliomas

Alexandre,

Scarcia,

Clarençon

et al. 2023

Clin Neuroradiol

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An analysis from the CAPACITY database of outcomes of preoperative embolization before carotid body tumor surgery compared with resection alone

Cited by 8 publications

References 22 publications

Retrocarotid dissection technique compared to the caudocranial approach for the surgical treatment of carotid body tumors: A 15-year experience

Retrocarotid dissection technique compared to the caudocranial approach for the surgical treatment of carotid body tumors: A 15-year experience

Five-year outcome of a staged giant Shamblin type III carotid body tumor excision

Preoperative Direct Puncture Embolization Using a Nonadhesive Ethylene Vinyl Alcohol (EVOH) Liquid Embolic Agent for Head and Neck Paragangliomas

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