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Revista mexicana de angiología
On-line version ISSN 2696-130XPrint version ISSN 0377-4740
Abstract
GARCIA-ALVA, Ramón et al. Usefulness of carotid body tumor volumetric analysis as a predictor of transoperative bleeding and surgical time. Rev. mex. angiol. [online]. 2019, vol.47, n.3, pp.1-5. Epub Oct 25, 2021. ISSN 2696-130X. https://doi.org/10.24875/rma.m19000001.
Objective:
To determine the association between tumor volumes (cm3) and bleeding during surgical resection of carotid body tumors.
Background:
Carotid body tumors are paragangliomas located in the cervical region. Tumor incidence is approximately 1 in 30,000-100,000 people of the general population. Treatment gold standard is surgical resection; however, these tumors are associated with significant surgical bleeding.
Methods:
Prospective study. Pre-surgical volume (cm3) analysis by computed tomographic (CT) angiography was done. Spearman test was used for correlation between volume, surgical bleeding and surgical operating time.
Results:
Twenty-nine patients were studied from March 2017 to April 2019. Of the studied population, 86% were women, with a mean age of 55 years. 52% were right-sided tumors, 34% left-sided, and 14% bilateral. Volume median was 17 cm3 and the surgical bleeding median was 300 mL. Spearman test revealed an r = 0.426; p = 0.021.
Conclusions:
CT angiography tumor volume can be used as a predictor of bleeding during surgical resection of carotid body tumors.
Keywords : Carotid body; Volume estimation; Surgical treatment.