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利用覆膜支架移植物进行颈动脉体瘤切除术,以便将肿瘤与颈内动脉整块切除。

Carotid body tumor resection utilizing a covered stent graft to enable resection of the tumor en bloc with the internal carotid artery.

作者信息

Alqaim Mohammad, Puri Ajit S, Vaezi Alec E, Schanzer Andres

机构信息

Division of Vascular and Endovascular Surgery, University of Massachusetts Medical School, Worcester, Mass.

出版信息

J Vasc Surg Cases Innov Tech. 2019 Nov 13;5(4):481-484. doi: 10.1016/j.jvscit.2019.07.012. eCollection 2019 Dec.

Abstract

Surgical excision is the primary treatment for carotid body tumors (CBT) and infrequently involves carotid vessels reconstruction. A CBT that extends distally to the level of the skull base makes surgical reconstruction very challenging. We report a case of a 30-year-old man who presented with a CBT (Shamblin III) extending to the base of the skull. A covered stent graft was placed in the internal carotid artery. Subsequently, a successful resection of the tumor with the arterial wall en bloc was performed, leaving the stent graft exposed as a bridge between the two ends of ICA.

摘要

手术切除是颈动脉体瘤(CBT)的主要治疗方法,很少涉及颈动脉血管重建。远端延伸至颅底水平的CBT使手术重建极具挑战性。我们报告一例30岁男性患者,其CBT(Shamblin III型)延伸至颅底。在颈内动脉置入了带覆膜支架移植物。随后,成功地将肿瘤与动脉壁整块切除,使支架移植物作为颈内动脉两端之间的桥梁暴露在外。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/206f/6859284/895a5e2636bf/gr1.jpg

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