Is intraoperative embolization with n-butyl cyanoacrylate an alternative option in carotid body tumors surgery? A case report

dc.contributor.authorKatrancioglu, Nurkay
dc.contributor.authorSerhatlioglu, Faruk
dc.contributor.authorKatrancioglu, Ozgur
dc.date.accessioned2024-08-04T20:59:47Z
dc.date.available2024-08-04T20:59:47Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction and importance: The risk of intraoperative bleeding is relatively considerable because carotid body tumors (CBT) have rich vascular structures. Aim is to reduce intraoperative bleeding with preoperative embolization. We present a unique technique for the successful surgical removal of a challenging CBT using intraoperative direct percutaneous intratumoral n-butyl cyanoacrylate (n-BCA) embolization in a patient whose preoperative embolization failed and the operation could not be continued due to intraoperative bleeding.Clinical presentation: A 67-year-old female patient presented with 7 cm Shamblin class 3 CBT on her right neck. Due to the failure of the preoperative embolization, bleeding developed during the operation. In the case of Shamblin class 3 CBT, the primary concern was not the volume of bleeding, but the difficulty in seeing the dissection line due to hemorrhage. Intraoperative n-BCA straight embolization totally controlled the bleeding. The CBT was then readily removed.Clinical discussion: Effective management of intraoperative hemorrhage is essential to ensure successful progression of surgical procedures of CBT. Hemorrhage causes complete disappearance of the dissection line, which is already difficult to detect due to adventitia invasion. It is clear that another method is needed when preoperative embolization or covered stenting fails. n-BCA has been used in the endovenous treatment of varicose veins for a long time, but to the best of our knowledge, there is no other case of its use in intraoperative CBT embolization. Conclusion: Direct intraoperative embolization with n-BCA may be an alternative when other techniques are insufficient.en_US
dc.identifier.doi10.1016/j.ijscr.2023.108636
dc.identifier.issn2210-2612
dc.identifier.pmid37598489en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijscr.2023.108636
dc.identifier.urihttps://hdl.handle.net/11616/103517
dc.identifier.volume110en_US
dc.identifier.wosWOS:001065652000001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInternational Journal of Surgery Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCarotid body tumoren_US
dc.subjectIntraoperative embolizationen_US
dc.subjectn-butyl cyanoacrylateen_US
dc.subjectGlomus tumoren_US
dc.titleIs intraoperative embolization with n-butyl cyanoacrylate an alternative option in carotid body tumors surgery? A case reporten_US
dc.typeArticleen_US

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