Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492006000300015
Jornal Vascular Brasileiro
Case Report

Embolização intra-arterial pré-operatória de tumor do corpo carotídeo

Preoperative intraarterial embolization of carotid body tumor

Gaudêncio Espinosa; Luis Felipe da Silva; André Luiz Fernandes; Roberto Furtado; Jose Luiz Telles da Fonseca; Ana Cristina de Oliveira Marinho; Vera Lucia Antunes Chagas; Fabio Bellizzi

http://dx.doi.org/10.1590/S1677-54492006000300015 J Vasc Bras, vol.5, n3, p.237-241, 2006
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Resumo

Os autores relatam um caso de tumor de corpo carotídeo (paraganglioma) em um paciente de 74 anos de idade, submetido a embolização intra-arterial com micropartículas esféricas, de polivinil acetato, com casca de polivinil álcool (PVAc + PVA), previamente à ressecção do tumor. O estudo angiográfico demonstrou massa altamente vascularizada na bifurcação carotídea esquerda, sendo a embolização pré-operatória utilizada no intuito de diminuir a vascularização e reduzir a perda sangüínea, aumentando a segurança do tratamento cirúrgico. O estudo histopatológico confirmou a presença de trombose e isquemia tecidual.

Palavras-chave

Embolização terapêutica, álcool de polivinil, acetato de polivinil, radiologia intervencionista, paraganglioma, tumor do corpo carotídeo

Abstract

The authors report a case of carotid body tumor (paraganglioma) in a 74-year-old male patient, submitted to intraarterial embolization with spherical core/shield polyvinyl acetate and polyvinyl alcohol (PVAc + PVA) microparticles prior to surgical excision. Angiography has demonstrated a highly vascularized mass in the left carotid bifurcation, and preoperative embolization was used in order to decrease vascularity, reduce blood loss and improve safety of surgical treatment. Microscopic study confirmed presence of thrombosis and tissue ischemia.

Keywords

Therapeutic embolization, polyvinyl alcohol, polyvinyl acetate, interventional radiology, paraganglioma, carotid body tumor

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