Preoperative embolization before surgical resection of carotid body tumors significantly reduced intraoperative blood loss and total complications (9.7% vs 33.3%; P<0.05).
Case-Control (n=58)
Does preoperative embolization reduce blood loss and complications in patients undergoing surgical resection of carotid body tumors?
Preoperative embolization prior to surgical resection of carotid body tumors significantly reduces surgical time, intraoperative blood loss, and perioperative complications.
Absolute Event Rate: 9.7% vs 33.3%
p-value: p=<.05
BACKGROUND: The purpose of this study was to investigate the outcomes of surgical resection of carotid body tumors with and without preoperative embolization. METHODS: There were 31 patients who underwent surgical resection combined with preoperative embolization (SRE group), and 27 patients who underwent conventional surgical resection (SR group); all clinical data were included and reviewed. RESULTS: There was no difference in the approach for carotid reconstruction in either group (P > .05). The mean surgical time (110.65 ± 35.77 minutes vs 188.33 ± 66.44 minutes) and intraoperative blood loss (140.32 ± 57.12 mL vs 396.43 ± 272.82 mL) were significantly less in the SRE group (P .05). CONCLUSION: Our results demonstrate that preoperative embolization of a carotid body tumor can reduce blood loss and complications and improve tumor excision.
Liu et al. (2018) conducted a case-control in Carotid body tumors (n=58). Preoperative embolization combined with surgical resection vs. Conventional surgical resection without preoperative embolization was evaluated on Total complications (p=<.05). Preoperative embolization before surgical resection of carotid body tumors significantly reduced intraoperative blood loss and total complications (9.7% vs 33.3%; P<0.05).