Cascade of Complications Following Carotid Body Tumor Excision

Garg, Pawan Kumar; Tiwari, Sarbesh; Ghosh, T.S.; Patel, Surendra; Sharma, Aruna; Khera, Pushpinder Singh

doi:10.5469/neuroint.2021.00248

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…The possibility [ 16 ] of a carotid shunt and artificial vascular internal carotid artery reconstruction should be considered before large CBT excision. Complications may arise, such as bleeding, vascular injury, pseudoaneurysm, and nerve injury [ 18 ]. When the tumor diameter exceeds 5 cm, the surgical complication rate can exceed 60%.…”

Section: Discussionmentioning

confidence: 99%

The value of color doppler ultrasonography combined with computed tomography angiography and magnetic resonance angiography in the preoperative quantification and classification of carotid body tumors: a retrospective analysis

Zhiqiang,

Yihua,

Ying

et al. 2024

BMC Med Imaging

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Background Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) provide accurate vascular imaging information, but their use may be contraindicated. Color Doppler ultrasonography (CDU) provides simple, safe, noninvasive, and reproducible imaging. We therefore investigated the role of preoperative CDU combined with CTA and MRA in the quantification, typing, and diagnosis of carotid body tumors (CBTs). Methods We retrospectively analyzed patients with CBTs categorized into group A (type I [n = 1] and type II [n = 10]) or group B (type III [n = 56]) per the intraoperative Shamblin classification. CDU, CTA, and MRA characteristics of CBTs were observed, surgical results were correlated, and the diagnostic threshold of the CBT classification was calculated. Results CBTs were usually located at the common carotid artery bifurcation, encircling the carotid artery. An increased angle was found between the internal and external carotid arteries. On CDU, CBTs primarily presented as homogeneous hypoechoic masses with clear boundaries, rich flow signals, and a high-speed, low-resistance artery-like flow spectrum. CTA showed uniform or heterogeneous marked enhancement. MRA showed mixed T1 and slightly longer T2 signals and uniform or uneven obvious enhancement. With increases in the lesion size, amount of blood transfused, and operation time, the intraoperative classification level and possibility of skull-base invasion increased. When the maximum diameter of the lesion, the volume of the tumor, the distance between the upper margin of the tumor to the mastoid and the mandibular angle were 3.10 cm, 10.15 cm3, − 3.26 cm, and 0.57 cm, respectively, the largest Youden index was the best diagnostic boundary value for Shamblin type III tumors. Conclusions CDU combined with CTA and MRA can accurately evaluate the size and classification of CBTs.

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Section: Discussionmentioning

confidence: 99%

The value of color doppler ultrasonography combined with computed tomography angiography and magnetic resonance angiography in the preoperative quantification and classification of carotid body tumors: a retrospective analysis

Zhiqiang,

Yihua,

Ying

et al. 2024

BMC Med Imaging

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“…Complications after resection of carotid glomus tumors are reported in a range of 25–49% in the literature [ 16 ]. Regarding Shamblin III tumors, the most common complication is nerve injury between a range of 20 and 50% [ 17 ]. Our study did not report major complications such as vascular, nervous or mortality complications.…”

Section: Discussionmentioning

confidence: 99%

Safe management of carotid body tumor resection without preoperative embolization: an Ecuadorian high-altitude cities experience

Solis-Pazmino¹,

Pilatuña²,

Tite³

et al. 2022

Journal of Surgical Case Reports

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Carotid body tumors (CBTs) are a neoplasm that affects the carotid glomus. This study aims to improve the management of CBTs in Ecuador. This single-center, retrospective observational study was conducted at the Instituto de la Tiroides y Enfermedades de Cabeza y Cuello (ITECC). We included adults with CBTs, between January 2019 and August 2022. A total of 15 patients with CBTs were included. All patients were females living at high altitudes (>2500 m). In the Shamblin classification, 12 tumors were type II, and 3 were type III. Complete tumor resection was performed in all patients without pre-operative embolization. All patients had benign CBTs with a mean follow-up of 17, 73 months. In a time when the medical cost is high mainly in low-income countries such as Ecuador, further investigation should be undertaken in the form of randomized prospective trials to answer who would benefit from the pre-TAE procedure.

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Ruptured carotid artery pseudoaneurysm following excision of a carotid body tumor: a rare complication managed successfully with surgery and literature review

Babu,

Jayant,

Behera

et al. 2024

J. vasc. bras.

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A 47-year-old male presented with a right-sided Shamblin type 2 carotid body tumor measuring 5*5 cm. After preoperative embolization, a sub adventitial resection of the tumor was done. He was discharged after postoperative day 5 and presented again to emergency 10 days later with a bleeding pseudoaneurysm at the surgical site causing dysphagia and dyspnea. He was taken for emergency exploration of the surgical wound and, intraoperatively, it was observed that the proximal ends of the internal carotid artery and external carotid artery close to the bifurcation were forming a pseudoaneurysm, 1 cm distal to the common carotid artery. The external carotid artery was ligated and a common carotid to internal carotid artery bypass was done with a reversed saphenous vein graft. He recovered well in the postoperative period and was discharged on day 7. Pseudoaneurysm formation following carotid body tumor resection is extremely rare and has only been reported thrice in the literature.

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Cascade of Complications Following Carotid Body Tumor Excision

Cited by 3 publications

References 14 publications

The value of color doppler ultrasonography combined with computed tomography angiography and magnetic resonance angiography in the preoperative quantification and classification of carotid body tumors: a retrospective analysis

The value of color doppler ultrasonography combined with computed tomography angiography and magnetic resonance angiography in the preoperative quantification and classification of carotid body tumors: a retrospective analysis

Safe management of carotid body tumor resection without preoperative embolization: an Ecuadorian high-altitude cities experience

Ruptured carotid artery pseudoaneurysm following excision of a carotid body tumor: a rare complication managed successfully with surgery and literature review

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