J Neurol Surg B Skull Base 2024; 85(S 01): S1-S398
DOI: 10.1055/s-0044-1780425
Presentation Abstracts
Video Presentations

Microsurgical Resection of Giant Carotid Body Paraganglioma with Repair of Intraoperative Carotid Artery Injury Using Heparin-Coated Interpositional Graft with Parachute Anastomosis

Authors

  • Joseph M. Wardell

    1   Rutgers New Jersey Medical School, Newark, New Jersey, United States
  • Trong D. Hyunh

    2   Department of Neurological Surgery, New Jersey Medical School, Newark, New Jersey, United States
  • Andrea L. Castillo

    1   Rutgers New Jersey Medical School, Newark, New Jersey, United States
  • Amanda N. Bosland

    1   Rutgers New Jersey Medical School, Newark, New Jersey, United States
  • Richard Chan Woo Park

    3   Department of Otolaryngology-Head and Neck Surgery, New Jersey Medical School, Newark, New Jersey, United States
  • Cindy Sturt

    4   Department of Vascular Surgery, Cooperman Barnabas Medical Center, Livingston, New Jersey, United States
  • James K. Liu

    2   Department of Neurological Surgery, New Jersey Medical School, Newark, New Jersey, United States
 

In this operative video, we demonstrate resection of a giant carotid body paraganglioma that invaded the wall of the internal carotid artery (ICA). During tumor dissection, an ICA injury was encountered because of tumor invasion through the adventitia of the ICA wall. Therefore, the ICA was trapped proximally and distally, and tumor resection was performed. The ICA was successfully reconstructed using an interpositional heparin-coated vascular graft with an end-to-end “parachute” anastomosis, confirmed with ICG angiography.



Publication History

Article published online:
05 February 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany