Role of pre-operative embolization in carotid body tumor surgery according to Shamblin classification: A systematic review and meta-analysis

被引：7

作者：

Napoli, Gianluigi ^{[1
]}

Tritto, Rocco ^{[1
]}

Moscarelli, Marco ^{[2
]}

Forleo, Cinzia ^{[1
]}

La Marca, Maria Grazia Carmela ^{[3
]}

Yang, Lin ^{[4
]}

Biondi-Zoccai, Giuseppe ^{[5
,6
]}

Giordano, Arturo ^{[7
]}

Tshomba, Yamume ^{[8
]}

Pepe, Martino ^{[1
]}

机构：

[1] Univ Bari, Dept Interdisciplinary Med DIM, Cardiovasc Dis Sect, Piazza G Cesare 11, I-70120 Bari, Italy

[2] Maria Cecilia Hosp GVM Care & Res, Cardiothorac & Vasc Dept, Cotignola, Ravenna, Italy

[3] Di Venere Hosp, Vasc Surg Unit, Bari, Italy

[4] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Vasc Surg, Xian, Peoples R China

[5] Sapienza Univ Rome, Dept Med Surg Sci & Biotechnol, Latina, Italy

[6] Mediterranea Cardioctr, Naples, Italy

[7] Pineta Grande Hosp, Invas Cardiol Unit, Castel Volturno, Caserta, Italy

[8] Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Unit Vasc Surg, Rome, Italy

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2023年 / 45卷 / 05期

关键词：

blood loss; CBTs; operative time; RESECTION; OUTCOMES;

D O I：

10.1002/hed.27318

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

BackgroundPre-operative embolization prior to surgical resection of carotid body tumors was meant to decrease intraoperative blood loss and operative time. Yet, potential confounders such as different Shamblin classes have never been analyzed. Aim of our meta-analysis was to investigate effectiveness of a pre-operative embolization according to different Shamblin classes. MethodsFive studies comprising 245 patients were included. A random effects model meta-analysis was conducted, and the I-2 statistic was used to assessment for heterogeneity. ResultsPre-operative embolization was associated with a significant reduction in blood loss (WM: 276.4 mL; 95% CI, 201.9-378.3, p < 0.01); an absolute mean reduction, though not statistically significant, was observed in both Shamblin 2 and 3 classes. No difference in operative time was found between the two strategies (WM: 192.0 min; 95% CI, 157.7-234.1, p = 1.0). ConclusionsEmbolization proved an overall significant reduction in perioperative bleeding, which did not reach threshold for statistical significance when Shamblin classes were singularly considered.

引用

页码：1141 / 1148

页数：8

共 18 条

[1] Impact of preoperative embolization on the outcomes of carotid body tumor surgery: A meta-analysis and review of the literature [J].