Tumor Resection combined with Internal Carotid Artery Reconstruction using Ipsilateral External Carotid Artery Interposition Graft for a Patient with Carotid Body Paraganglioma

Q: What does this research mean for the field?

Using the ipsilateral external carotid artery as an interposition graft is a viable surgical option for internal carotid artery reconstruction during the resection of carotid body paragangliomas that require combined carotid artery resection. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Kazuto Kimura; Kenji Yoshida; Masakazu Kobayashi; Kohei Chida; K. Katagiri; Kiyoto Shiga; Kuniaki Ogasawara

doi:10.7887/jcns.33.214

January 1, 2024Japanese Journal of NeurosurgeryOpen Access

Tumor Resection combined with Internal Carotid Artery Reconstruction using Ipsilateral External Carotid Artery Interposition Graft for a Patient with Carotid Body Paraganglioma

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Key Points

This research aims to evaluate the surgical approach for resecting carotid body paraganglioma while restoring carotid artery function.
Resection of a right-sided carotid body tumor in an 18-year-old female patient with bilateral lesions.
Utilization of the external carotid artery as an interposition graft to reconstruct the internal carotid artery.
Anastomosis was performed between the graft and both the proximal internal carotid artery and distal common carotid artery.
Successful tumor resection was achieved with adequate blood flow restored through the interposition graft.
The procedure effectively eliminated the tumor while maintaining carotid artery patency.
Using the external carotid artery for reconstruction is a recommended option during carotid body tumor excision.

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Implication

Demonstrates effective surgical reconstruction of internal carotid artery in a patient with carotid body paraganglioma, highlighting a viable intervention.

Abstract

頚動脈小体腫瘍は頚動脈を取り囲むように発育し, 頚動脈合併切除と内頚動脈の血行再建を要することがある. 症例は両側の頚動脈小体腫瘍をもつ18歳の女性で, より大きい右側を摘出する方針とした. 腫瘍は頚動脈分岐部を取り囲んでおり癒着が高度であった. そこで外頚動脈をinterposition graftとして採取後, 腫瘍を跨ぐように内頚動脈中枢側および総頚動脈末梢側を吻合した. その後総頚動脈分岐部ごと腫瘍を摘出し, interposition graftを介して内頚動脈血流再開を行った. 頚動脈合併切除を要する頚動脈小体腫瘍摘出時の内頚動脈の血行再建では, 外頚動脈をinterposition graftとして用いることは選択肢の1つになり得る.

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Kimura et al. (2024) studied this question.

synapsesocial.com/papers/6a236b4bece65aba823a09b8 https://doi.org/10.7887/jcns.33.214

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Tumor Resection combined with Internal Carotid Artery Reconstruction using Ipsilateral External Carotid Artery Interposition Graft for a Patient with Carotid Body Paraganglioma

Key Points

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Implication

Abstract

Discussion

Cite This Study

Tumor Resection combined with Internal Carotid Artery Reconstruction using Ipsilateral External Carotid Artery Interposition Graft for a Patient with Carotid Body Paraganglioma

Key Points

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Implication

Abstract

Discussion

Cite This Study

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