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Perkutane Onyx®-Embolisation zur Therapie von Glomus-caroticum-Tumoren

Direct percutaneous embolization of a carotid body tumor with Onyx

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Zusammenfassung

Die perkutane präoperative Embolisation zur Behandlung von Tumoren des Glomus caroticum mit Ethylen-Vinylalkohol-Kopolymer (Onyx®) wurde erst vor kurzer Zeit im deutschsprachigen Raum eingeführt. Nach Direktpunktion des Tumors wurde Onyx® unter Angiographiekontrolle perkutan injiziert. Die postinterventionelle Angiographie zeigte eine vollständige Okklusion aller tumorversorgenden Gefäße. Im anschließenden chirurgischen Eingriff konnte der Tumor komplett komplikationslos entfernt werden. Die direkte perkutane Embolisation von Glomus-caroticum-Tumoren der Kopf-Hals-Region ist eine sichere und effektive präoperative Behandlungsmaßnahme mit geringer Komplikationsrate. Sie stellt eine neue Säule in der Behandlungsstrategie von Glomus-caroticum-Tumoren dar. Mit dieser Methode wird die Möglichkeit einer vollständigen Tumorresektion deutlich erhöht.

Abstract

Carotid body tumors are highly vascularized lesions that require successful preoperative embolization to achieve favorable clinical results in terms of morbidity and complete tumor resection. The procedure of percutaneous embolization was performed using ethylene-vinyl alcohol copolymer (Onyx) in addition to balloon-catheter protection to prevent particle displacement into the internal carotid artery. The procedure resulted in nearly complete tumor embolization and facilitated the uneventful complete surgical resection. Percutaneous angiographic embolization of carotid body tumors in the head and neck was found to be safe and effective. This technique is likely to result in improved surgical outcomes and tumor resectability.

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Authors and Affiliations

  1. Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Klinikum Bielefeld, Teutoburger Straße 50, 33604, Bielefeld, Deutschland

    S. Ulrich, M. Lehmann, J. Ebmeyer, U. Reineke &  H. Sudhoff

  2. Abteilung für Pathologie, Klinikum Bielefeld, Bielefeld, Deutschland

    U. Hamberger

  3. Institut für diagnostische und interventionelle Radiologie und Neuroradiologie, Evangelisches Krankenhaus, Bielefeld, Deutschland

    U. Dietrich

Authors
  1. S. Ulrich
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  2. M. Lehmann
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  3. J. Ebmeyer
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  4. U. Hamberger
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  5. U. Reineke
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  6. U. Dietrich
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  7. H. Sudhoff
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Correspondence to H. Sudhoff.

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Ulrich, S., Lehmann, M., Ebmeyer, J. et al. Perkutane Onyx®-Embolisation zur Therapie von Glomus-caroticum-Tumoren. HNO 57, 1305–1310 (2009). https://doi.org/10.1007/s00106-009-1960-x

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  • DOI: https://doi.org/10.1007/s00106-009-1960-x

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