Document Detail


Two cases of emergent endovascular treatment for carotid blowout syndrome after free flap reconstruction for neck cancer.
MedLine Citation:
PMID:  20605725     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Carotid blowout is a devastating complication in patients with head and neck malignancy, and is associated with high morbidity and mortality. For patients with bleeding originating in the internal or common carotid artery, treatment options are limited. These include the endovascular remodelling strategies using a stent or embolization of the aneurysm with coils. We describe two cases of pseudoaneurysmal rupture in the common carotid artery with massive bleeding in patients with head and neck malignancies and a history of long-term radiation treatment. They underwent immediate coil embolization and wall stent deployment and, which resulted in the successful control of bleeding. Although these endovascular treatments often result in recurrent carotid blowout syndrome, they can be useful and effective in treating emergent carotid rupture in patients for whom balloon occlusion test is contraindicated.
Authors:
Masaki Fujioka; Hideaki Takahata
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Publication Detail:
Type:  Journal Article     Date:  2010-06-01
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  39     ISSN:  1878-4119     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-06-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  372-5     Citation Subset:  D; IM    
Copyright Information:
Copyright © 2010 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Plastic and Reconstructive Surgery (Chairman: Fujioka Masaki MD, PhD), National Hospital Organization, Nagasaki Medical Center, Nagasaki, Japan.
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