ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2022
Preoperative embolization of jugular paraganglioma tumors using particles is safe and effective.
Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Direct percutaneous puncture versus transarterial embolization for head and neck paragangliomas: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Pooled it
- Efficacy and Safety of Preoperative Embolization in Glomus Jugulare Tumors: A Systematic Review and Meta-analysis of Clinical Outcomes and Complications.Cardiovascular and interventional radiology · 2024Pooled it
- Article
- Jugulotympanic paraganglioma, preoperative embolization, and transmastoid retrolabyrinthine approach: Two-dimensional operative video.Surgical neurology international · 2026Article
- Preoperative Embolization for Tentorial and Subtentorial Tumors.Journal of neuroendovascular therapy · 2026Review
- [Skull base surgery-where do we stand?]HNO · 2025Review
- Lingual artery: Angiographic anatomy and variations review for neurosurgeons.Surgical neurology international · 2025Review
- Preoperative Embolization of Glomus Tumors: Role, Effectiveness, and Complications.Journal of clinical medicine · 2024Article
- Endovascular Embolization as a Stand-Alone Treatment of Head and Neck Paragangliomas with Long-Term Tumor Control.AJNR. American journal of neuroradiology · 2024Article
- Tumor volume changes after stereotactic, hypofractionated and conventional radiotherapy in paragangliomas of head and neck.Cancer medicine · 2024Article
- [A case report of giant jugular foramen paraganglioma].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024Article
- Paragangliomas of the Head and Neck: A Review of the Latest Diagnostic and Treatment Methods.Medicina (Kaunas, Lithuania) · 2024Review
- The Advantages of Non-Adhesive Gel-like Embolic Materials in the Endovascular Treatment of Benign Hypervascularized Lesions of the Head and Neck.Gels (Basel, Switzerland) · 2023Article
- Multi-Disciplinary Approach to Skull Base Paragangliomas.Brain sciences · 2023Article
- An Update on Temporal Bone Paragangliomas.Current treatment options in oncology · 2023Review
- Bilateral visual disturbances caused by a glomus vagale: illustrative case.Journal of neurosurgery. Case lessons · 2023Article
- Article
- Paragangliomas of the head and neck: a contemporary review.Endocrine oncology (Bristol, England) · 2022Review
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundJugular paragangliomas represent a surgical challenge due to their vascularity and proximity to vital neurovascular structures. Preoperative embolization aids in reducing intraoperative blood loss, transfusion requirements, and improves surgical visualization. Several embolization agents have been used.
objectiveThe aim of this study is to evaluate the safety and efficacy of PVA in pre-operative embolization of jugular paragangliomas.
methodsA retrospective review of all patients who underwent jugular paraganglioma resection with pre-operative embolization between 2000 and 2020 was performed. Pre-operative data including baseline patient and tumor characteristics were documented. Outcomes of preoperative embolization including extent of devascularization and post-embolization complications were recorded. Early and long-term postoperative outcomes were reported.
resultsTwenty-nine patients met study criteria with a median age of 38 years. Average tumor size was 3.4±1.8 cm. The most commonly encountered arterial feeder was the ascending pharyngeal artery followed by the posterior auricular artery. More than 50% reduction in tumor blush was achieved in 25 patients (86.2%). None of the patients experienced new or worsening cranial neuropathy following embolization. Gross total or Near total resection was achieved in 13 patients (44.8%). A STR or NTR was chosen in these patients to preserve cranial nerve function or large vessel integrity. Average intraoperative estimated blood loss was 888 ml, 9 patients (31%) required intra-operative transfusion of blood products. Extent of resection and post-operative complications did not correlate with extent of devascularization.
conclusionPre-operative embolization of jugular paraganglioma tumors with PVA particles is an effective strategy with a high safety profile.
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