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Balloon Test Occlusion in Temporal Bone Tumors

  • Orlando M. Diaz
  • Brandon D. Liebelt
  • Robert A. Scranton
Chapter

Abstract

The surgical treatment of hypervascular or invasive temporal bone tumors has a number of endovascular considerations. Surgical treatment may involve a planned preoperative tumor embolization or an inadvertent carotid injury. Some tumors may not be a good target for embolization, and preoperative carotid occlusion might be considered. It is advantageous to understand the patient’s ability to tolerate carotid sacrifice prior to surgery, and this can be assessed through a carotid balloon test occlusion. This chapter describes the indications and technique for performing a carotid balloon test occlusion, as well as the relevant vascular anatomy and collateral circulation necessary for a patient to tolerate occlusion.

Keywords

Balloon test occlusion Carotid embolization Arterial sacrifice Radionuclide scan Transcranial Doppler 

Abbreviations

ACA

anterior cerebral artery

BTO

balloon test occlusion

CBF

cerebral blood flow

EEG

electroencephalography

ICA

internal cerebral artery

LMA

leptomeningeal anastomoses

MCA

middle cerebral artery

PCA

posterior cerebral artery

PET

positron emission tomography

SPECT

single-photon emission computed tomography

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Orlando M. Diaz
    • 1
  • Brandon D. Liebelt
    • 2
  • Robert A. Scranton
    • 1
  1. 1.Department of Radiology, Houston Neurovascular CenterHoustonUSA
  2. 2.Department of NeurosurgeryHoustonUSA

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