Carotid Body Tumour Embolization

Carotid Body Tumour Embolization

Carotid paragangliomas, commonly referred as carotid body tumors (CBTs), are the most common neuroendocrine tumors in the head and neck. They are most commonly located at the bifurcation of the common carotid artery and usually present as a painless neck mass.

Carotid body tumour are highly vascularized tumors which can make tumor resection particularly challenging. Specifically, vascular and neurologic sequelae are feared complications of CBT surgical therapy. Schick et al. first introduced the concept of preoperative embolization in 1980 and reported the first such CBT resection. Since then, several studies have evaluated the impact of preoperative embolization on CBT surgery. There is evidence suggesting that preoperative selective embolization may reduce blood loss during surgery and decrease the risk of perioperative complications.

How does the procedure work?

The aim of the procedure is to stop the blood flowing into the vessels which supplies the CTB.

The interventional radiologist will insert a 2-3 mm tube into your groin and then guide the tube under imaging to the blood vessel suppling the CTB . They will then insert small resin particles (known as microparticles) into the vessels. This causes the vessel or vessels to become blocked and so stops the bleeding.

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