Carotid blowout syndrome : Modern trends in management
Suárez, C. (Universidad de Oviedo)
Fernández-Alvarez, Verónica (Hospital Universitario de Cabueñes (Gijón))
Hamoir, Marc (St Luc University Hospital)
Mendenhall, W.M. (University of Florida)
Strojan, Primož (Institute of Oncology of Ljubljana)
Quer, Miquel (Institut d'Investigació Biomèdica Sant Pau)
Silver, C.E. (University of Arizona)
Rodrigo, Juan Pablo (Hospital Universitario Central de Asturias)
Rinaldo, Alessandra (University of Udine School of Medicine)
Ferlito, Alfio (International Head and Neck Scientific Group)
Universitat Autònoma de Barcelona

Data:	2018
Resum:	Carotid blowout syndrome (CBS) refers to rupture of the carotid artery and is an uncommon complication of head and neck cancer that can be rapidly fatal without prompt diagnosis and intervention. CBS develops when a damaged arterial wall cannot sustain its integrity against the patient's blood pressure, mainly in patients who have undergone surgical procedures and radiotherapy due to cancer of the head and neck, or have been reirradiated for a recurrent or second primary tumor in the neck. Among patients irradiated prior to surgery, CBS is usually a result of wound breakdown, pharyngocutaneous fistula and infection. This complication has often been fatal in the past, but at the present time, early diagnosis and modern technology applied to its management have decreased morbidity and mortality rates. In addition to analysis of the causes and consequences of CBS, the purpose of this paper is to critically review methods for early diagnosis of this complication and establish individualized treatment based on endovascular procedures for each patient.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Matèria:	Carotid blowout ; Covered stents ; Embolization ; Head and neck cancer ; Reirradiation ; Surgery
Publicat a:	Cancer Management and Research, Vol. 10 (2018) , p. 5617-5628, ISSN 1179-1322

DOI: 10.2147/CMAR.S180164
PMID: 30519108

12 p, 813.5 KB

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