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Balloon Test Occlusion in Temporal Bone Tumors

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Temporal Bone Cancer

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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.

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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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Author information

Authors and Affiliations

  1. Department of Radiology, Houston Neurovascular Center, Houston, TX, USA

    Orlando M. Diaz M.D. & Robert A. Scranton M.D.

  2. Department of Neurosurgery, Methodist Hospital, Houston, TX, USA

    Brandon D. Liebelt M.D.

Authors
  1. Orlando M. Diaz M.D.
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  2. Brandon D. Liebelt M.D.
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  3. Robert A. Scranton M.D.
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Corresponding author

Correspondence to Orlando M. Diaz M.D. .

Editor information

Editors and Affiliations

  1. Department of Head and Neck Surgery, Otology-Neurotology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA

    Paul W. Gidley

  2. Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA

    Franco DeMonte

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Diaz, O.M., Liebelt, B.D., Scranton, R.A. (2018). Balloon Test Occlusion in Temporal Bone Tumors. In: Gidley, P., DeMonte, F. (eds) Temporal Bone Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-74539-8_4

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  • DOI: https://doi.org/10.1007/978-3-319-74539-8_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74538-1

  • Online ISBN: 978-3-319-74539-8

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