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Carotid Body Tumor Surgery: Management and Outcomes in the Nation

Division of Vascular Surgery, UMDNJ-Robert Wood Johnson Medical School, The Surgical Outcomes Research Group, New Brunswick, New Jersey, tvogel{at}excite.com

Albeir Y. Mousa, MD

Division of Vascular Surgery, UMDNJ-Robert Wood Johnson Medical School, The Surgical Outcomes Research Group, New Brunswick, New Jersey

Viktor Y. Dombrovskiy, MD, PhD, MPH

Division of Vascular Surgery, UMDNJ-Robert Wood Johnson Medical School, The Surgical Outcomes Research Group, New Brunswick, New Jersey

Paul B. Haser, MD

From the Division of Vascular Surgery, UMDNJ-Robert Wood Johnson Medical School, The Surgical Outcomes Research Group, New Brunswick, New Jersey

Alan M. Graham, MD

Division of Vascular Surgery, UMDNJ-Robert Wood Johnson Medical School, The Surgical Outcomes Research Group, New Brunswick, New Jersey

Objective: To evaluate the impact of carotid reconstruction (REC) and pre-operative embolization (EMB) for Carotid Body Tumor (CBT) surgery. Methods: Retrospective study utilizing the Nationwide Inpatient Sample (2002-2006). Results: 2117 patients (mean age 56.5 ± 17.2 years) underwent CBT surgery: 1686 excision alone (EX); 129 excision with embolization (EX+EMB); and 302 excision with carotid artery reconstruction (EX+REC). EX+REC compared to EX had greater rates of mortality (1.61%vs.0.59%; P =.0495), stroke (17.7% vs. 3.5%; P < .0002), and postoperative hemorrhage (43.1% vs. 2.4%; P < 0.002). EX+EMB did not demonstrate increased mortality or stroke compared to EX and the rate of postoperative hematoma was similar between groups (P = .3144). Conclusions: CBT resection is a relatively rare procedure and when combined with EMB was more expensive, but was associated with significantly fewer complications and decreased blood product utilization. These data suggest that CBT surgery requiring carotid reconstruction carries significant morbidity and that EMB as an adjunctive tool was beneficial for CBT surgery outcomes.

Key Words: carotid body tumor • outcomes • population • complications

This version was published on October 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 5, 457-461 (2009)
DOI: 10.1177/1538574409335274


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