Management of Vagal Paragangliomas Including Application of Internal Carotid Artery Stenting

Management of Vagal Paragangliomas Including Application of Internal Carotid Artery Stenting

Seung-Ho Shin, Paolo Piazza, Giuseppe De Donato, Shailendra Sivalingam, Lorenzo Lauda, Francesca Vitullo and Mario Sanna

Abstract
Objective: To present the clinical findings, surgical treatment including application of internal carotid artery (ICA) stenting to facilitate surgery, and complications, as well as to review the literature and to discuss the decision-making process in the management of VP (vagal paragangliomas) cases based on our experience and the literature.

Conclusion: In younger patients with VP, surgery should be recommended. The proper preoperative endovascular intervention and surgical approach facilitates gross total tumor removal. In the management of bilateral or familial paragangliomas, careful and appropriate decision making is essential.