Adam H. Power, MD, Thomas C. Bower, MD, Jan Kasperbauer, MD, Michael J

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Impact of preoperative embolization on outcomes of carotid body tumor resections Adam H. Power, MD, Thomas C. Bower, MD, Jan Kasperbauer, MD, Michael J. Link, MD, Gustavo Oderich, MD, Harry Cloft, MD, William F. Young, MD, Peter Gloviczki, MD Journal of Vascular Surgery Volume 56, Issue 4, Pages 979-989 (October 2012) DOI: 10.1016/j.jvs.2012.03.037 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 The Shamblin classification of carotid body tumors predicts the difficulty of surgical resection. Class I tumors are localized and easily resected. Class II tumors adhere to or partially surround the carotid arteries. Class III completely surrounds or encases at least one of the arteries. ECA, External carotid artery; ICA, internal carotid artery. Reprinted with permission from the Mayo Clinic and Hallett JW Jr et al.4 Journal of Vascular Surgery 2012 56, 979-989DOI: (10.1016/j.jvs.2012.03.037) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 A 64-year-old woman presented with a right carotid body tumor (CBT). A, A reformatted computed tomography angiography image shows the right CBT splaying the bifurcation of the right internal carotid artery (ICA) and external carotid artery (ECA). B, Preoperative embolization of the right CBT is shown. Left, A lateral cervical angiogram from the right common carotid artery demonstrates significant tumor vascularity. Right, Significant reduction is seen in tumor vascularity after embolization of the ascending pharyngeal artery with polyvinyl alcohol particles measuring 255 to 350 μm. Right CBT surgical resection (C) before and (D) after removal of the tumor. Journal of Vascular Surgery 2012 56, 979-989DOI: (10.1016/j.jvs.2012.03.037) Copyright © 2012 Society for Vascular Surgery Terms and Conditions