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Research ArticleHead and Neck Imaging

Percutaneous Embolization of Carotid Paragangliomas Using Solely Onyx

I. Wanke, M.C. Jäckel, S. Goericke, V. Panagiotopoulos, U. Dietrich and M. Forsting
American Journal of Neuroradiology September 2009, 30 (8) 1594-1597; DOI: https://doi.org/10.3174/ajnr.A1601
I. Wanke
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M.C. Jäckel
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S. Goericke
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V. Panagiotopoulos
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U. Dietrich
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M. Forsting
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    Fig 1.

    Lateral common carotid artery injection. A and B, Early (A ) and late phase (B ) images show a carotid paraganglioma in loco typico, with arterial supply from the ascending pharyngeal artery, proximal tiny vessels from the ECA, and the proximal ICA (arrows). C, Immediately after embolization, the tumor was devascularized. D, The unsubtracted image shows the Onyx cast in the tumor bed.

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    Fig 2.

    Embolization technique after percutaneous tumor puncture. A parenchymogram was obtained (A ), and injection of Onyx was started by using a roadmap technique (B ) with inflation of the microballoon (C ) to protect the lumen of the ICA.

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  • Patient demographics and carotid body tumor characteristics

    Patient No.SexTumor No.Tumor LocationTumor Size (cm)*Origin of Feeding PediclesNo. PuncturesOnyx Volume (mL)Duration of Injection (min)Devascularization
    1F1Left2ICA/ECA13.015.0Total
    2Right3.6ICA/ECA23.119.0Total
    2M3Left5ICA/ECA29.126.4Total
    4Right3.0ICA/ECA13.916.8Total
    3F5Left3.9ICA/ECA15.221.6Total
    4F6Left3.5ICA/ECA14.217.9Total
    • Note:—ICA indicates internal carotid artery; ECA, external carotid artery.

    • * Longest diameter.

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American Journal of Neuroradiology: 30 (8)
American Journal of Neuroradiology
Vol. 30, Issue 8
1 Sep 2009
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Cite this article
I. Wanke, M.C. Jäckel, S. Goericke, V. Panagiotopoulos, U. Dietrich, M. Forsting
Percutaneous Embolization of Carotid Paragangliomas Using Solely Onyx
American Journal of Neuroradiology Sep 2009, 30 (8) 1594-1597; DOI: 10.3174/ajnr.A1601

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Percutaneous Embolization of Carotid Paragangliomas Using Solely Onyx
I. Wanke, M.C. Jäckel, S. Goericke, V. Panagiotopoulos, U. Dietrich, M. Forsting
American Journal of Neuroradiology Sep 2009, 30 (8) 1594-1597; DOI: 10.3174/ajnr.A1601
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Cited By...

  • Preliminary Experience with the Percutaneous Embolization of Juvenile Angiofibromas Using Only Ethylene-Vinyl Alcohol Copolymer (Onyx) for Preoperative Devascularization Prior to Surgical Resection
  • Preliminary experience with the percutaneous embolization of paragangliomas at the carotid bifurcation using only ethylene vinyl alcohol copolymer (EVOH) Onyx
  • Complete devascularization of a juvenile angiofibroma by direct percutaneous embolization with only ethylene vinyl alcohol copolymer (Onyx) through a single needle placement
  • Usefulness of Percutaneously Injected Ethylene-Vinyl Alcohol Copolymer in Conjunction with Standard Endovascular Embolization Techniques for Preoperative Devascularization of Hypervascular Head and Neck Tumors: Technique, Initial Experience, and Correlation with Surgical Observations
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