Document Detail

Rupture of radiation-induced internal carotid artery pseudoaneurysm in a patient with nasopharyngeal carcinoma--spontaneous occlusion of carotid artery due to long-term embolizing performance.
MedLine Citation:
PMID:  18213720     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Rupture of internal carotid artery (ICA) pseudoaneurysm is a lethal complication in patients with nasopharyngeal carcinoma (NPC). Angiography is the best diagnostic and treatment method. The aim of embolization is to block the pseudoaneurysm; but sometimes, total occlusion of great vessels is ineludible. We describe a case of NPC post-radiation therapy and with ruptured pseudoaneurysm treated by angio-embolization. METHODS: The patient had received embolization with numerous tools such as stent grafts, balloons, and bare stents with or without filter protection. RESULTS: After failing to pass through the narrow lumen by embolizing tools, the right ICA finally occluded spontaneously by self-thrombosis. CONCLUSION: Although the angio-embolization is a good method to resolve the problems of ruptured pseudoaneurysm, there is still high mortality and morbidity. Being aware of the clinical presentations and the changes of images may alert us to predict the happening earlier.
Kai-Yuan Cheng; Ka-Wo Lee; Feng-Yu Chiang; Kuen-Yao Ho; Wen-Rei Kuo
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Head & neck     Volume:  30     ISSN:  1097-0347     ISO Abbreviation:  Head Neck     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-10-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1132-5     Citation Subset:  IM    
Department of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
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MeSH Terms
Aneurysm, False / etiology*,  therapy
Carcinoma / radiotherapy
Carotid Artery, Internal*
Embolization, Therapeutic*
Epistaxis / etiology,  therapy*
Middle Aged
Nasopharyngeal Neoplasms / radiotherapy
Neoplasm Recurrence, Local / radiotherapy
Radiotherapy / adverse effects
Remission, Spontaneous
Rupture / therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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