Assessing the safety and efficacy of EVOH Pre-Embolization in head and neck paraganglioma tumors: A comprehensive analysis of current literature

Batista, Sávio; Palavani, Lucca B.; Fim Andreão, Filipi; de Barros Oliveira, Leonardo; Viviani de Abreu, Livia; Pinheiro, Agostinho C.; Fontoura, Júlia; Yuri Ferreira, Márcio; Bertani, Raphael; Junior de Andrade, Erion; Almeida Filho, Jose Alberto; Paiva, Wellingson S.

doi:10.1016/j.jocn.2024.01.017

Journal of Clinical Neuroscience

2024

DOI: 10.1016/j.jocn.2024.01.017

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Assessing the safety and efficacy of EVOH Pre-Embolization in head and neck paraganglioma tumors: A comprehensive analysis of current literature

Sávio Batista,

Lucca B. Palavani,

Filipi Fim Andreão

et al.

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2024

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Cited by 3 publications

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Paragangliome im Kopf-Hals-Bereich

Strasser,

Steinbichler

2024

HNO

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Paragangliome im Kopf-Hals-Bereich

Strasser,

Steinbichler

2024

HNO

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Paragangliome im Kopf-Hals-Bereich

Strasser,

Steinbichler

2024

Radiologie

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The Role of Internal Carotid Artery Stent in the Management of Skull Base Paragangliomas

Di Micco,

Salcher,

Götz

et al. 2024

Cancers

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Background: After two decades from its introduction in the lateral skull base paraganglioma surgery, the indications and results of preoperative internal carotid artery stenting should be critically assessed. Materials and Methods: Monocentric retrospective study on 26 patients affected by head and neck paragangliomas (19 tympanojugular paragangliomas, 4 carotid body paragangliomas, 3 vagal paragangliomas) preoperatively treated with internal carotid artery stents between 2008 and 2023. The preoperative findings, the intraoperative complications and the final surgical results were analyzed. Results: The stent complication rate was less than 3.1%. Self-expanding highly flexible intracranial nitinol stents were applied. In all cases, it was possible to completely mobilize the internal carotid artery and perform a vascular dissection of the tumor. Gross total tumor resection was possible in 85% of cases. The median follow up was 7.83 y (SD +/− 3.93 y). No local recurrence was observed. Conclusions: The preoperative vascular stent facilitates tumor dissection from the internal carotid artery without risk of vascular damage, helping the surgeon to achieve surgical radicality. The vascular stent is indicated in the case of revision surgeries, circumferential involvement of the vessel and in cases with non-insufficient intracerebral crossflow. Procedural complications, temporary antiplatelet therapy and delay of surgery are the limitations of the procedure.

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Assessing the safety and efficacy of EVOH Pre-Embolization in head and neck paraganglioma tumors: A comprehensive analysis of current literature

Cited by 3 publications

References 45 publications

Paragangliome im Kopf-Hals-Bereich

Paragangliome im Kopf-Hals-Bereich

Paragangliome im Kopf-Hals-Bereich

The Role of Internal Carotid Artery Stent in the Management of Skull Base Paragangliomas

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