Department of Radiology, E-DA Hospital, Kaohsiung, Taiwan, ROC.
J Chin Med Assoc. 2011 Feb;74(2):91-4. doi: 10.1016/j.jcma.2011.01.018. Epub 2011 Feb 16.
Substantial intraoperative bleeding during surgical removal of carotid body tumor may be a major problem in the management of these highly vascularized tumors. Traditional preoperative embolization via a transarterial access has proved effective but is often limited by complex vascular anatomy and small feeding vessels that is difficult to catheterize. We report two cases of carotid body tumor treated with direct puncture and intratumoral injection of N-butyl cyanoacrylate glue (NBCA) assisted with balloon protection technique for preoperative devascularization. The result was impressive and minimal bleeding loss during surgery was observed.
在颈动脉体瘤的手术切除过程中，大量的术中出血可能是这些高度血管化肿瘤处理的一个主要问题。通过动脉入路进行传统的术前栓塞已被证明是有效的，但由于血管解剖结构复杂和难以插管的小供血血管，往往受到限制。我们报告了两例颈动脉体瘤病例，采用直接穿刺和瘤内注射氰基丙烯酸正丁酯（NBCA）并用球囊保护技术进行术前血管阻断治疗。结果令人印象深刻，术中观察到出血量明显减少。
