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May 24-25, 2018
London, UK
Vascular Surgery 2018
3
rd
Edition of World Congress & Exhibition on
Vascular Surgery
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
INTRODUCTION:
The carotid body tumors belong to the
paragangliomas group whose cellular origin is the neuroendocrin
extra-adrenal system. The chronic hypoxia is one of the causes.
Their diagnosis is based on the clinical presentation and in an image
study like ultrasonography, angioCT, angio MR and angiography,
this last one at the moment is not of common use and it has been
displaced by other techniques. We propose a new classification.
PATIENTS: Sixty-nine patients have been analyzed with diagnostic
of carotid body tumor, all with unilateral in a 10-year-old period
(2007-2017). Twelve men and 57 women. Mean age: 62 years
(30-75). Forty of the left side and twenty-nine of right side. The
most common form of presentation was an asymptomatic cervical
mass. Most of the patients come from the region bigger mountain
of cities to 2000 msnm. The diagnosis for more used image was the
ultrasonography and the angioCT, in seven cases was not carried
out image study. Preoperative embolization with cyanoacrylate and
Onyx has been used in tumors bigger than 3 cm prior to surgery.
Sixty-eight cases were subjected to surgery and in a case it was
not possible the resection for discoveries of malignancy. In all the
operated patients the subadventicial technique was used. Thirty-
five patients were classified in tumor type Shamblin I, 21 of type
II and 13 of type III. Complications in 12 cases, eight of the type
III and four of the type II of Shamblin and they include: tear of the
carotid bifurcation, longitudinal angioplasty of the internal carotid
and ligation of the external carotid. Postoperative morbility was
presented in 15 cases: disphonia, haematoma of surgical wound
and asymmetry of the tongue. There was not mortality.
CONCLUSIONS:
Ecuador is a country with high prevalencia and
incidence of carotid body tumors and this could be justified for the
numerous cities that are on the 2000 meters on the level of the sea.
The surgical procedure should be carried out by a surgeon with
wide experience in technical of carotid reconstruction and handling
of vascular and nervous package of neck, for this way to diminish
the patient’s morbility and mortality. The embolization should be
used in tumors bigger than 3 cm to disminish the risk of bleeding.
Recent Publications
1. Alex Westerband, MD, Glenn C. Hunter, MD, Ismar
Cintora, MD, Stanley W. Coulthard, MD, Michael L. Hinni,
MD, Andrew T. Gentile, MD, Jennifer Devine, RN, and
Joseph L. Mills, MD. Current trends in the detection and
management of carotid body tumors, Journal of Vascular
Surgery, 1998 28:1 84-93.
2. ALi FIRAT, CUNEYT AYTEKiN, FATiH BOYVAT, NUR
ALTINORS, MURAD BAVBEK ,ATILAY TA$DELEN.
Multidiciplinary Approach to Carotid Body Paraganglioma:
Preoperative Percutaneous Embolization and Surgical
Resection. Turkish Nellrosurgery 13: 81-84, 2003
3. Gutierrez, Sanchez, Portillo, Lizola. Paraganglioma
carotídeo, Actualidades 2012. Experiencia de 35 años.
Revista Mexicana de Angiología, vol 40, numero 1. 2012.
4. Balcazar, López, Soto. Tumor del cuerpo carotídeo de
altura. Revisión de 35 años, conceptos actuales y nueva
New developments in the treatment of carotid body tumors
from Ecuador where they are common. What is the etiology and
the best treatment tricks
Oscar Ojeda
Hospital Eugenio Espejo, Ecuador
Oscar Ojeda, J Vasc Endovasc Therapy 2018, Volume 3
DOI: 10.21767/2573-4482-C1-002