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The Comparative Outcomes of Particulate Versus Coil Preoperative Embolization for Carotid Body Tumors

Till now, the effect of different embolic materials (particulate vs coil) on pre-embolization of carotid body tumors remains poorly understood. The aim of this study was to explore the comparative results between particulate and coil embolization for carotid body tumors. Thirty-seven patients with c...

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Autores principales: Huang, Xun, Wang, Lin, Chen, Yangjing, Liu, Jianlin, Liu, Yamin, Yang, Lin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9174660/
https://www.ncbi.nlm.nih.gov/pubmed/35692768
http://dx.doi.org/10.3389/fonc.2022.860788
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author Huang, Xun
Wang, Lin
Chen, Yangjing
Liu, Jianlin
Liu, Yamin
Yang, Lin
author_facet Huang, Xun
Wang, Lin
Chen, Yangjing
Liu, Jianlin
Liu, Yamin
Yang, Lin
author_sort Huang, Xun
collection PubMed
description Till now, the effect of different embolic materials (particulate vs coil) on pre-embolization of carotid body tumors remains poorly understood. The aim of this study was to explore the comparative results between particulate and coil embolization for carotid body tumors. Thirty-seven patients with carotid body tumors who underwent embolization before surgical resection were reviewed and analyzed in this retrospective study between 2008 and 2020. Twenty-one patients were included in the particulate group, while 16 patients were included in the coil group. All procedure-related details, complications and 5-year follow-up data were collected in the study. The preoperative embolization time was obviously longer in the particulate group than in the coil group (42.6 ± 12.3 min vs. 33.7 ± 10.1 min, P =.02), and the fluo time of the procedure (864.5 ± 240.9 s vs. 729.6 ± 251.5 s) and cumulative air kerma (634.6 ± 188.4 mGy vs. 486.7 ± 164.7 mGy) value were higher in the particulate group (P =.01). The incidences of total adverse events in both groups were not significantly different (28.6% vs. 25.0%, P >.05); however, two cases of ectopic embolization only occurred in the particulate group. Interestingly, medical expenditure was higher in the particulate group than in the coil group (P =.02). For the 3-year follow-up evaluation, recurrence and all-cause mortality were similar in both groups (P >.05). Preoperative embolization with coils could be relatively safe, have a lower radiation dosage and be cost-effective for the treatment of carotid body tumors.
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spelling pubmed-91746602022-06-09 The Comparative Outcomes of Particulate Versus Coil Preoperative Embolization for Carotid Body Tumors Huang, Xun Wang, Lin Chen, Yangjing Liu, Jianlin Liu, Yamin Yang, Lin Front Oncol Oncology Till now, the effect of different embolic materials (particulate vs coil) on pre-embolization of carotid body tumors remains poorly understood. The aim of this study was to explore the comparative results between particulate and coil embolization for carotid body tumors. Thirty-seven patients with carotid body tumors who underwent embolization before surgical resection were reviewed and analyzed in this retrospective study between 2008 and 2020. Twenty-one patients were included in the particulate group, while 16 patients were included in the coil group. All procedure-related details, complications and 5-year follow-up data were collected in the study. The preoperative embolization time was obviously longer in the particulate group than in the coil group (42.6 ± 12.3 min vs. 33.7 ± 10.1 min, P =.02), and the fluo time of the procedure (864.5 ± 240.9 s vs. 729.6 ± 251.5 s) and cumulative air kerma (634.6 ± 188.4 mGy vs. 486.7 ± 164.7 mGy) value were higher in the particulate group (P =.01). The incidences of total adverse events in both groups were not significantly different (28.6% vs. 25.0%, P >.05); however, two cases of ectopic embolization only occurred in the particulate group. Interestingly, medical expenditure was higher in the particulate group than in the coil group (P =.02). For the 3-year follow-up evaluation, recurrence and all-cause mortality were similar in both groups (P >.05). Preoperative embolization with coils could be relatively safe, have a lower radiation dosage and be cost-effective for the treatment of carotid body tumors. Frontiers Media S.A. 2022-05-25 /pmc/articles/PMC9174660/ /pubmed/35692768 http://dx.doi.org/10.3389/fonc.2022.860788 Text en Copyright © 2022 Huang, Wang, Chen, Liu, Liu and Yang https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Oncology
Huang, Xun
Wang, Lin
Chen, Yangjing
Liu, Jianlin
Liu, Yamin
Yang, Lin
The Comparative Outcomes of Particulate Versus Coil Preoperative Embolization for Carotid Body Tumors
title The Comparative Outcomes of Particulate Versus Coil Preoperative Embolization for Carotid Body Tumors
title_full The Comparative Outcomes of Particulate Versus Coil Preoperative Embolization for Carotid Body Tumors
title_fullStr The Comparative Outcomes of Particulate Versus Coil Preoperative Embolization for Carotid Body Tumors
title_full_unstemmed The Comparative Outcomes of Particulate Versus Coil Preoperative Embolization for Carotid Body Tumors
title_short The Comparative Outcomes of Particulate Versus Coil Preoperative Embolization for Carotid Body Tumors
title_sort comparative outcomes of particulate versus coil preoperative embolization for carotid body tumors
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9174660/
https://www.ncbi.nlm.nih.gov/pubmed/35692768
http://dx.doi.org/10.3389/fonc.2022.860788
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