Rare treatment of radiation induced carotid pseudoaneurysm and ensuing carotid blowout syndrome with placement of multiple contiguous endovascular stents: a case report.

Abstract

Cervical radiotherapy for treatment of head and neck cancer can result in the delayed carotid vasculopathy. Surgical management for an ensuing hemorrhage is challenging due to the associated high mortality and morbidity. We present a case of a relative rapid formation of common carotid pseudoaneurysm formation with subsequent carotid blowout syndrome in previously irradiated neck. Successful treatment in our patient is highlighted by the fact that multiple, contiguous endovascular stents were placed emergently to obtain control of pseudoaneurysm rupture.

• Authors: Samip N Patel, Eric Sauvageau, Tapan A Padhya
• Journal: American journal of otolaryngology (Am J Otolaryngol) 2013 May-Jun Vol. 34 Issue 3 Pg. 219-22 ISSN: 1532-818X [Electronic] United States
• PMID: 23332404 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2013 Elsevier Inc. All rights reserved.

Topics

• Aged, 80 and over
• Carcinoma, Squamous Cell (radiotherapy, surgery)
• Carotid Artery Injuries (diagnostic imaging, etiology, surgery)
• Carotid Artery, Common (diagnostic imaging)
• Endovascular Procedures
• Head and Neck Neoplasms (radiotherapy, surgery)
• Humans
• Hypopharyngeal Neoplasms (radiotherapy, surgery)
• Male
• Pyriform Sinus
• Radiation Injuries (complications)
• Radiography, Interventional
• Radiotherapy (adverse effects)
• Squamous Cell Carcinoma of Head and Neck
• Stents
• Syndrome
• Tomography, X-Ray Computed