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Case Report

Technique and Role of Embolization Using Ethylene Vinyl-Alcohol Copolymer before Carotid Body Tumor Resection

1
Johns Hopkins Medical Insitutions, Baltimore, MD, USA
2
New York University Medical Center, New York, NY, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2014, 4(3), 661; https://doi.org/10.4081/cp.2014.661
Submission received: 27 May 2014 / Revised: 10 September 2014 / Accepted: 30 September 2014 / Published: 19 November 2014

Abstract

A 45-year old female referred for a large carotid body tumor resection. The tumor was encasing the internal (ICA) and external carotid arteries (ECA). She underwent angiogram and embolization of the ascending pharyngeal artery and a distal branch of the ECA using ethylene vinyl-alcohol copolymer (EVOH). Two days later, surgical resection of the tumor with regional lymph node dissection was performed along with an interposition reversed vein graft anastomosis between the mid common carotid and distal ICA. Carotid body tumor devascularization of the tumor can be performed using EVOH delivered through transarterial and percutaneous routes. Embolization may facilitate surgical resection and decrease blood loss but does not decrease the rate of neurological complications. Embolization can be performed by the vascular surgeon before a large carotid body tumor resection with minimal migration and or stroke risk.
Keywords: embolization; carotid body tumor; ethylene vinyl-alcohol copolymer; Onyx® embolization; carotid body tumor; ethylene vinyl-alcohol copolymer; Onyx®

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MDPI and ACS Style

Thakkar, R.; Qazi, U.; Kim, Y.; Fishman, E.K.; Veith, F.J.; Malas, M.B. Technique and Role of Embolization Using Ethylene Vinyl-Alcohol Copolymer before Carotid Body Tumor Resection. Clin. Pract. 2014, 4, 661. https://doi.org/10.4081/cp.2014.661

AMA Style

Thakkar R, Qazi U, Kim Y, Fishman EK, Veith FJ, Malas MB. Technique and Role of Embolization Using Ethylene Vinyl-Alcohol Copolymer before Carotid Body Tumor Resection. Clinics and Practice. 2014; 4(3):661. https://doi.org/10.4081/cp.2014.661

Chicago/Turabian Style

Thakkar, Rajiv, Umair Qazi, Young Kim, Elliot K. Fishman, Frank J. Veith, and Mahmoud B. Malas. 2014. "Technique and Role of Embolization Using Ethylene Vinyl-Alcohol Copolymer before Carotid Body Tumor Resection" Clinics and Practice 4, no. 3: 661. https://doi.org/10.4081/cp.2014.661

APA Style

Thakkar, R., Qazi, U., Kim, Y., Fishman, E. K., Veith, F. J., & Malas, M. B. (2014). Technique and Role of Embolization Using Ethylene Vinyl-Alcohol Copolymer before Carotid Body Tumor Resection. Clinics and Practice, 4(3), 661. https://doi.org/10.4081/cp.2014.661

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