Anesthesia Management in Carotid Paraganglioma Surgery: How to Address the Complexities and Ensure Safety

Complications 2026 Open access

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Authors: Marco Franchin, Luca Guzzetti, Matteo Tozzi, Martina Baiardo Redaelli, Maria Cristina Cervarolo, Noemi Graziano, Gabriele Piffaretti, Luca CABRINI, Alessandro Bacuzzi, Mario D’Oria
DOI: 10.3390/complications3010003
Cited by: 1
References: 42

Abstract

Carotid paragangliomas are rare neuroendocrine tumors that, despite being typically benign, present significant surgical and anesthetic challenges. This manuscript outlines the anesthetic management for surgical resection, highlighting preoperative assessment, intraoperative monitoring, and postoperative care. A multidisciplinary approach is essential, particularly for functional tumors, requiring preoperative screening and pharmacologic preparation. Intraoperatively, cerebral perfusion monitoring is critical to prevent ischemic events. Postoperative vigilance is necessary to detect complications such as bleeding, cranial nerve deficits, and hemodynamic instability. A multidisciplinary team skilled in these surgical procedures is essential to improve safety in carotid paraganglioma surgery.

Fields of Study & Subjects

Adrenal and Paraganglionic Tumors Pituitary Gland Disorders and Treatments Cerebrovascular and Carotid Artery Diseases

Publication details

Journal / source
Complications
Publisher
MDPI AG
Volume
3
Issue
1
Pages
3–3
Publication date
30 January 2026
Language
EN