Excision Of A Shamblin III Carotid Body Tumor With Same Day Embolization
Leah Plumblee, MD, MS, Elizabeth Winter, Mathew Wooster, MD, Elizabeth Genovese, MD, MS.
Medical University of South Carolina, Charleston, SC, USA.
This video is demonstrating a unique and interesting case for the management of carotid body tumors. We present a patient in which embolization of a 4 cm carotid body tumor was performed immediately prior to excision. Our patient is a 59-year-old male, referred to us via a rural hospital 4 hours away, who initially presented to his local emergency department with symptoms of lightheadness, dizziness, and dysphagia that eventually led to the discovery of a large Shamblin class III tumor with encasement of the left internal carotid artery. Given the size and classification of the carotid body tumor, we elected to coil embolize prior to resection. Given the inflammatory process that can ensue after coil embolization, the travel and financial limitations of the patient, were elected to perform coil embolization and resection in a single session in our hybrid room. The tumor and a single lymph node were removed and sent to pathology. Patency of the ICA was assured with use of doppler. The patient was awoken and extubated without difficulty. He tolerated the procedure well and was found to be neurologically intact. We had approximately 250cc of blood loss. Post-operatively, the patient remained hospitalized for 5 days prior to being discharged home. At a month follow up, his incision was well healed. A carotid duplex was within normal limits with no signs of stenosis. He is without any focal neurological deficits or weaknesses.
Back to 2020 ePosters