Alqaim Mohammad, Puri Ajit S, Vaezi Alec E, Schanzer Andres
Division of Vascular and Endovascular Surgery, University of Massachusetts Medical School, Worcester, Mass.
J Vasc Surg Cases Innov Tech. 2019 Nov 13;5(4):481-484. doi: 10.1016/j.jvscit.2019.07.012. eCollection 2019 Dec.
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.
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。