Journal of Vascular Surgery
Volume 47, Issue 5 , Pages 936-945 , May 2008

Patients with head and neck cancers and associated postirradiated carotid blowout syndrome: Endovascular therapeutic methods and outcomes

  • Feng-Chi Chang, MD

      Affiliations

    • Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
    • School of Medicine, National Yang Ming University, Taipei, Taiwan
    • Corresponding Author InformationReprint requests: Feng-Chi Chang, Department of Radiology, Taipei Veterans General Hospital, 201 Shih-Pai Rd, Sec 2, Taipei, Taiwan 11217 ROC.
    • ,
  • Jiing-Feng Lirng, MD

      Affiliations

    • Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
    • School of Medicine, National Yang Ming University, Taipei, Taiwan
    • ,
  • Chao-Bao Luo, MD

      Affiliations

    • Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
    • School of Medicine, National Yang Ming University, Taipei, Taiwan
    • ,
  • Shuu-Jiun Wang, MD

      Affiliations

    • Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
    • Department of Neurology, National Yang Ming University, Taipei, Taiwan.
    • ,
  • Hsiu-Mei Wu, MD

      Affiliations

    • Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
    • School of Medicine, National Yang Ming University, Taipei, Taiwan
    • ,
  • Wan-Yuo Guo, MD, PhD

      Affiliations

    • Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
    • School of Medicine, National Yang Ming University, Taipei, Taiwan
    • ,
  • Michael Mu Huo Teng, MD

      Affiliations

    • Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
    • School of Medicine, National Yang Ming University, Taipei, Taiwan
    • ,
  • Cheng-Yen Chang, MD

      Affiliations

    • Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
    • School of Medicine, National Yang Ming University, Taipei, Taiwan

Received 14 September 2007 ,Accepted 11 December 2007.

References 

  1. Chaloupka JC, Putman CM, Citardi MJ, Ross DA, Sasaki CT. Endovascular therapy for the carotid blowout syndrome in head and neck surgical patients: diagnostic and managerial considerations. AJNR Am J Neuroradiol. 1996;17:843–852
  2. Wong Stuart J, Machtay Mitchell, Li Yi. Locally recurrent, previously irradiated head and neck cancer: concurrent re-irradiation and chemotherapy, or chemotherapy alone?. J Clin Oncol. 2006;24:2653–2658
  3. Maran AGD, Amin M, Wilson JA. Radical neck dissection: a 19-year experience. J Laryngol Otol. 1989;103:395–400
  4. Macdonald S, Gan J, Mckay AJ, Edward RD. Endovascular treatment of acute carotid blowout syndrome. J Vasc Interv Radiol. 2000;11:1184–1188
  5. Warren FM, Cohen JI, Nesbit GM, Barnwell SL, Wax MK, Andersen PE. Management of carotid “blowout” with endovascular stent grafts. Laryngoscope. 2002;112:428–433
  6. Chaloupka JC, Roth TC, Putman CM, Mitra S, Ross DA, Lowlicht RA, et al. Recurrent carotid blowout syndrome: Diagnosis and therapeutic challenges in a newly recongnized subgroup of patients. AJNR Am J Neuroradiol. 1999;20:1069–1077
  7. Citardi MJ, Chaloupak JC, Son YH, Ariyan S, Sasaki CT. Management of carotid artery rupture by monitored endovascular therapeutic occlusion (1988-1994). Laryngoscope. 1995;105:1086–1092
  8. Lesley WS, Chaloupka JC, Weigele JB, Mangla S, Dogar MA. Preliminary experience with endovascular reconstruction for the management of carotid blowout syndrome. AJNR Am J Neuroradiol. 2003;24:975–981
  9. Chazono H, Okamoto Y, Matsuzaki Z, Horiguchi S, Matsuoka T, Horikoshi T, et al. Carotid artery resection: preoperative temporary occlusion is not always an accurate predictor of collateral blood flow. Acta Otolaryngol. 2005;125:196–200
  10. Desuter G, Hammer F, Gardiner Q, Grégoire V, Machiels JP, Hamoir M, et al. Carotid stenting for impending carotid blowout: suitable supportive care for head and neck cancer patients?. Palliative Medicine. 2005;19:427–429
  11. Chang FC, Lirng JF, Luo CB, Guo WY, Teng MM, Tai SK, et al. Carotid blowout syndrome in patients with head-and-neck cancers: reconstructive management by self-expandable stent-grafts. AJNR Am J Nueroradiol. 2007;28:181–188
  12. Simental A, Hohnson JT, Horowitz M. Delayed complications of endovascular stenting for carotid blowout. Am J Otolaryngol. 2003;24:417–419
  13. Smith TP, Alexander MJ, Enterline DS. Delayed stenosis following placement of polyethylene terephthalate endograft in the cervical carotid artery. J Neurosurg. 2003;98:421–425
  14. Castañer E, Andreu M, Gallardo X, Mata HM, Cabezuelo MA, et al. CT in nontraumatic acute thoracic aortic disease: Typical and atypical features and complcations. Radiographics. 2003;23:S93–S110Spec No
  15. Wright JG, Nicholson R, Schuller DE, Smead WL. Resection of the internal carotid artery and replacement with greater saphenous vein: a safe procedure for en bloc cancer resections with carotid involvement. J Vasc Surg. 1996;23:775–782
  16. Silvennoinen HM, Ikonen S, Soinne L, Railo M, Valanne L. CT angiographic analysis of carotid artery stenosis: comparison of manual assessment, semiautomatic vessel analysis, and digital subtraction angiography. AJNR AM J Neuroradiol. 2007;28:97–103
  17. Bell RB, Osborn T, Dierks EJ, Potter BE, Long WB. Management of penetrating neck injury: a new paradigm for civilian trauma. J Oral Maxillofac Surg. 2007;65:591–705
  18. Luo CB, Chang FC, Teng MMH, Chen CCC, Lirng JF, Chang CY. Endovascular treatment of the carotid artery rupture with massive hemorrhage. J Chin Med Assoc. 2003;66:140–147
  19. Chang FC, Lirng JF, Tai SK, Luo CB, Teng MMH, Chang CY. Brain abscess formation: a delayed complication of carotid blowout syndrome treated by self-expandable stent-graft. AJNR Am J Neuroradiol. 2006;27:1543–1545
  20. Gercken U, Lansky AJ, Bullesfeld L, Desai K, Badereldin M, Mueller R, et al. Results of the Jostent coronary stent graft implantation in various clinical settings: procedural and follow-up results. Cathet Cardiovasc Intervent. 2002;56:353–360
  21. Tanaka N, Martin J-B, Tokunaga K, Abe T, Uchivama Y, Hayabuchi N, et al. Conformity of carotid stents with vascular anatomy: evaluation in carotid models. AJNR Am J Neuroradiol. 2004;25:604–607
  22. Berkefeld J, Turowski B, Dietz A, Lanfermann H, Sitzer M, Schmitz-Rixen T, et al. Recanalization results after carotid stent placement. AJNR Am J Neuroradiol. 2002;23:113–120
  23. Numagami Y, Ezura M, Takahashi A, Yoshimoto T. Antegrade recanalization of completely embolized internal carotid artery after treatment of a giant intracavernous aneurysm: a case report. Surg Neurol. 1999;52:611–616

 Competition of interest: none.

PII: S0741-5214(07)02038-1

doi: 10.1016/j.jvs.2007.12.030

Journal of Vascular Surgery
Volume 47, Issue 5 , Pages 936-945 , May 2008

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