Terapijska uloga selektivne preoperativne embolizacije kod bolesnika sa paragangliomima glave i vrata

  • Igor Sekulić Military Medical Academy, Institute of Radiology, Belgrade, Serbia
  • Aleksandar Jovanovski Military Medical Academy, Institute of Radiology, Belgrade, Serbia
  • Dejan Kostić Military Medical Academy, Institute of Radiology, Belgrade, Serbia
  • Srboljub Stošić University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
  • Jelena Bošković-Sekulić Clinical Center Kragujevac, Center for Urgent Medicine, Kragujevac, Serbia
  • Jelena Stevanović Military Medical Academy, Institute of Radiology, Belgrade, Serbia
  • Nemanja Rančić University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP190809121S
Ključne reči: transfuzija krvi, embolizacija, terapijska, glava i vrat, neoplazme, paragangliom, preoperativni period, lečenje, ishod

Sažetak


Uvod/Cilj. Paragangliomi su retke hipervaskularne neoplazme. Cilj rada je bio da se prikaže iskustvo u lečenju paraganglioma preoperativnom embolizacijom. Metode. U retrospektivnu studiju preseka bilo je uključeno10 bolesnika (7 žena i 3 muškaraca; medijana godina starosti iznosila je 55) sa paragangliomima koji su bili embolisani pre operacije. Rezultati. Tri bolesnika su imala timpanične paragangliome, dva karotidne, tri jugularne i dva jugularno-timpanične paragangliome. Tokom operacije, samo jedan od 10 bolesnika imao je krvarenje koje je zahtevalo nadoknadu krvi. Ovaj bolesnik je primio 1 130 mL krvi zbog hirurške kompilikacije. Zaključak. Adekvatna preoperativna selektivna embolizacija paraganglioma je osnovna tehnika u preoperativnoj pripremi ovih bolesnika, budući da se radi o izvodljivoj proceduri sa niskom stopom komplikacija.

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Objavljeno
2021/08/06
Broj časopisa
Vol. 78 Br. 7 (2021): Vojnosanitetski pregled
Rubrika
Kratko saopštenje