Smith R F, Shetty P C, Reddy D J
Division of Vascular Surgery, Henry Ford Hospital, Detroit, MI 48202.
J Vasc Surg. 1988 May;7(5):631-7.
Although the application of reconstructive vascular surgical procedures to the treatment of carotid paragangliomas has made their resection the method of choice and has produced excellent cure rates, it has not obviated some of the technical problems presented by excessively vascular, adherent, or bulky lesions. Our experience with preoperative trans-catheter embolization for the reduction of the vascularity in six cases of this group of lesions is presented and the conclusion is made that preoperative embolization greatly reduced operative technical difficulties.
尽管重建性血管外科手术应用于颈动脉体瘤的治疗已使其切除术成为首选方法，并取得了出色的治愈率，但它并未消除一些因病变血管过多、粘连或体积过大而带来的技术问题。本文介绍了我们对6例此类病变进行术前经导管栓塞以减少血管化的经验，并得出结论：术前栓塞大大降低了手术技术难度。
