Multistep and Multidisciplinary Management for Post-irradiated Carotid Blowout Syndrome in a Young Patient With Oropharyngeal Carcinoma: A Case Report.
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
/ instrumentation
Carotid Artery Injuries
/ diagnostic imaging
Chemoradiotherapy
/ adverse effects
Endovascular Procedures
/ instrumentation
Hemorrhage
/ diagnostic imaging
Humans
Male
Middle Aged
Myocutaneous Flap
Oropharyngeal Neoplasms
/ complications
Radiation Injuries
/ diagnostic imaging
Saphenous Vein
/ transplantation
Squamous Cell Carcinoma of Head and Neck
/ complications
Stents
Syndrome
Treatment Outcome
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
28
12
2019
revised:
08
02
2020
accepted:
16
02
2020
pubmed:
27
3
2020
medline:
27
10
2020
entrez:
27
3
2020
Statut:
ppublish
Résumé
Carotid blowout syndrome is a severe complication of head and neck cancer, associated with high mortality and morbidity. We present a case of acute hemorrhage from the carotid artery of a 59-year-old man with a history of chemoradiotherapy for lingual base and oropharyngeal squamous cell carcinoma. The case was managed by a staged multidisciplinary approach of open arterial reconstruction, after initial endovascular hemorrhage control using stent graft. The patient was discharged to home with patent carotid artery, no sign of infection or bleeding, and autonomous ambulation. A CT/PET scan performed 6 months later confirmed healing and absence of tumor recurrence. A multidisciplinary approach involving vascular surgeons, ENT surgeons, plastic and maxillofacial surgeons is particularly appropriate in the management of carotid blowout syndrome to warrant a durable and effective repair of all the anatomical structures involved.
Sections du résumé
BACKGROUND
BACKGROUND
Carotid blowout syndrome is a severe complication of head and neck cancer, associated with high mortality and morbidity.
METHODS
METHODS
We present a case of acute hemorrhage from the carotid artery of a 59-year-old man with a history of chemoradiotherapy for lingual base and oropharyngeal squamous cell carcinoma. The case was managed by a staged multidisciplinary approach of open arterial reconstruction, after initial endovascular hemorrhage control using stent graft.
RESULTS
RESULTS
The patient was discharged to home with patent carotid artery, no sign of infection or bleeding, and autonomous ambulation. A CT/PET scan performed 6 months later confirmed healing and absence of tumor recurrence.
CONCLUSIONS
CONCLUSIONS
A multidisciplinary approach involving vascular surgeons, ENT surgeons, plastic and maxillofacial surgeons is particularly appropriate in the management of carotid blowout syndrome to warrant a durable and effective repair of all the anatomical structures involved.
Identifiants
pubmed: 32209410
pii: S0890-5096(20)30223-5
doi: 10.1016/j.avsg.2020.02.023
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
565.e1-565.e5Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.