TY - JOUR
T1 - Carotid blowout with infection
T2 - Management with endovascular and open vascular approaches - A case report
AU - Hertz, Jeffrey A.
AU - Valentino, Joseph
AU - Kwolek, Christopher J.
AU - Endean, Eric D.
PY - 2004/9
Y1 - 2004/9
N2 - The management of patients with head and neck cancer can be complicated by massive carotid artery hemorrhage, often requiring ligation owing to the emergent conditions and scarring from previous surgery and radiation. A case of emergent endovascular management of carotid artery hemorrhage in a patient treated for pharyngeal carcinoma is described. Hemorrhage was controlled, but on follow-up the patient developed a carotid-cutaneous fistula with exposure of the coils. Further management required the use of autogenous vein to replace the involved vessels. This case demonstrates that endovascular control of carotid hemorrhage can be successful, but close follow-up is necessary to identify potential subsequent complications.
AB - The management of patients with head and neck cancer can be complicated by massive carotid artery hemorrhage, often requiring ligation owing to the emergent conditions and scarring from previous surgery and radiation. A case of emergent endovascular management of carotid artery hemorrhage in a patient treated for pharyngeal carcinoma is described. Hemorrhage was controlled, but on follow-up the patient developed a carotid-cutaneous fistula with exposure of the coils. Further management required the use of autogenous vein to replace the involved vessels. This case demonstrates that endovascular control of carotid hemorrhage can be successful, but close follow-up is necessary to identify potential subsequent complications.
UR - http://www.scopus.com/inward/record.url?scp=5444254655&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=5444254655&partnerID=8YFLogxK
U2 - 10.1177/153857440403800515
DO - 10.1177/153857440403800515
M3 - Article
C2 - 15490049
AN - SCOPUS:5444254655
SN - 1538-5744
VL - 38
SP - 477
EP - 481
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 5
ER -