Carotid blowout syndrome: endovascular management of a lesser known oncological emergency: case report
نویسندگان
چکیده
Abstract Background Carotid blowout syndrome (CBS) refers to a fatal hemorrhagic complication of cervical carotid arteries that occurs due rupture the extracranial artery or one its major branches in patients treated for head and neck malignancy. In this article, we will discuss two different spectrum CBS endovascular approach. Case presentation Two cases per oral bleeding presented emergency department. After were hemodynamically stabilized, CT angiography was done which showed type II III CBS, respectively. This followed by transfemoral supra-aortic digital subtraction angiogram coil embolization with scaffolding anchoring technique, respectively, patients. Conclusions Early recognition predictors multidisciplinary team is critical. The treatment approach relatively safe effective low rates morbidity mortality compared surgical CBS.
منابع مشابه
Carotid blowout syndrome: An oncological emergency less discussed
South Asian Journal of Cancer ♦ Volume 6 ♦ Issue 2 ♦ April-June 2017 85 the carotid artery is exposed to the oral cavity or external environment through skin breakdown or by direct tumor invasion; “impending,” in which sentinel bleeds have occurred but have been controlled by conservative management; or “acute,” where there is active bleeding.[5] The gold standard for diagnosing CBS is digital ...
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PURPOSE To retrospectively evaluate the clinical and technical factors related to the outcomes of endovascular management in patients with head-and-neck cancers associated with post-irradiated carotid blowout syndrome (PCBS). MATERIALS AND METHODS Between 2000 and 2013, 96 patients with PCBS underwent endovascular management. The 40 patients with the pathological lesions located in the extern...
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OBJECTIVES/HYPOTHESIS To illustrate complex interdisciplinary decision making and the utility of modern endovascular techniques in the management of patients with carotid blowout syndrome (CBS). STUDY DESIGNS Retrospective chart review. METHODS Patients treated with endovascular strategies and/or surgical modalities were included. Control of hemorrhage, neurological, and survival outcomes w...
متن کاملCarotid blowout syndrome: efficacy of endovascular treatment methods
Purpose: To establish the hemostatic efficacy, complications, and outcomes of endovascular treatment for carotid blowout syndrome (CBS). Due to the rarity of this condition, the experience in endovascular treatment of CBS is not well defined. Materials and Methods: A retrospective analysis was conducted on 11 patients with head and neck cancer who underwent endovascular treatment for CBS over a...
متن کاملPreliminary experience with endovascular reconstruction for the management of carotid blowout syndrome.
BACKGROUND AND PURPOSE Permanent balloon occlusion (PBO) of the carotid artery has been previously shown to be an effective means to treat carotid blowout syndrome (CBS). However, despite the effectiveness of this endovascular technique, concern remains regarding its potential for producing delayed cerebral ischemic complications in 15% to 20% of patients. This significant limitation of carotid...
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ژورنال
عنوان ژورنال: Egyptian Journal of Radiology and Nuclear Medicine
سال: 2021
ISSN: ['2090-4762', '0378-603X']
DOI: https://doi.org/10.1186/s43055-021-00587-x