Article
The evaluation of individualized sequential treatment for carotid body tumor
Search Medline for
Authors
-
Fei Chen
- West China Hospital of Sichuan University, Chengdu, P.R. China
| Published: | April 4, 2012 |
|---|
Outline
Text
Objective: To discuss the experience of individualized sequential therapy for carotid body tumor patient.
Methods: A retrospective analysis was done for totally 23 patients (29 sides) with carotid body tumor; 14 cases were male while 9 were female.17 cases were unilateral, 6 cases were bilateral. After diagnose we use Matas test-BOT test-Surgical treatment sequentially. Surgical methods include 5 types: tumor stripping, tumor resection simultaneously with the external carotid artery, anastomosis of external-internal carotid artery, carotid artery revascularization, carotid artery ligation.
Results: Surgical treatment: 11 sides of carotid artery with their integrity after tumor resection; five tumor resection with external carotid artery ligation together; 6 directly repair of carotid artery damage after removal of carotid body tumor; 2 of anastomosis of external-internal carotid artery; 3 reconstruction of the carotid artery and internal carotid artery with bypass using great saphenous vein and jugular vein. 1 with carotid artery ligation only.
Conclusion: Preoperative Matas test – BOT test – Sequential surgical treatment can effectively promote the brain collateral circulation and can provide an accurate the basis of carotid artery reconstruction using bypass or not. Carotid artery rupture simple repair and carotid artery to internal carotid artery anastomosis do not need carotid bypass. So not only the bypass leading to cerebral ischemia caused arising from paralysis, coma and other serious complications were turned away, but also reduce the unnecessary use of the bypass tube and the vascular injury with blindness, thrombosis risk and related waste materials.
