Management of double carotid blowout with definitive repair after temporizing stent graft placement

Alexandra T. Cocca; Brittany E. Levy; Jennifer T. Castle; Wesley S. Wilt; Mark D. Fleming; Alexandra E. Kejner; Rony K. Aouad; Samuel C. Tyagi

doi:10.1016/j.jvscit.2022.08.011

Management of double carotid blowout with definitive repair after temporizing stent graft placement

Alexandra T. Cocca, Brittany E. Levy, Jennifer T. Castle, Wesley S. Wilt, Mark D. Fleming, Alexandra E. Kejner, Rony K. Aouad, Samuel C. Tyagi

Otolaryngology

Research output: Contribution to journal › Article › peer-review

Abstract

Carotid blowout syndrome is a life-threatening complication for patients with head and neck cancer. Temporizing stent graft procedures improve short-term survival and can be the definitive treatment for various reasons, including a poor oncologic prognosis, unsuitability for definitive reconstruction, or a lack of operative options. A second carotid blowout will often be fatal. Preventing such events requires multidisciplinary strategic planning because of a hostile reoperative field. We have described a case of a 44-year-old man with a history of laryngeal cancer who had experienced a carotid blowout. Treated with a stent graft, the patient had experienced a second event 6 weeks later. Treatment involved excision and suture ligation with rotational muscle flap coverage.

Original language	English
Pages (from-to)	606-609
Number of pages	4
Journal	Journal of Vascular Surgery Cases, Innovations and Techniques
Volume	8
Issue number	4
DOIs	https://doi.org/10.1016/j.jvscit.2022.08.011
State	Published - Dec 2022

Bibliographical note

Funding Information:
The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.

Publisher Copyright:
© 2022

Keywords

Carotid blowout
Carotid ligation
Laryngeal cancer
Stent graft

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jvscit.2022.08.011

Cite this

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title = "Management of double carotid blowout with definitive repair after temporizing stent graft placement",

abstract = "Carotid blowout syndrome is a life-threatening complication for patients with head and neck cancer. Temporizing stent graft procedures improve short-term survival and can be the definitive treatment for various reasons, including a poor oncologic prognosis, unsuitability for definitive reconstruction, or a lack of operative options. A second carotid blowout will often be fatal. Preventing such events requires multidisciplinary strategic planning because of a hostile reoperative field. We have described a case of a 44-year-old man with a history of laryngeal cancer who had experienced a carotid blowout. Treated with a stent graft, the patient had experienced a second event 6 weeks later. Treatment involved excision and suture ligation with rotational muscle flap coverage.",

keywords = "Carotid blowout, Carotid ligation, Laryngeal cancer, Stent graft",

author = "Cocca, {Alexandra T.} and Levy, {Brittany E.} and Castle, {Jennifer T.} and Wilt, {Wesley S.} and Fleming, {Mark D.} and Kejner, {Alexandra E.} and Aouad, {Rony K.} and Tyagi, {Samuel C.}",

note = "Funding Information: The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. Publisher Copyright: {\textcopyright} 2022",

year = "2022",

month = dec,

doi = "10.1016/j.jvscit.2022.08.011",

language = "English",

volume = "8",

pages = "606--609",

journal = "Journal of Vascular Surgery Cases, Innovations and Techniques",

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TY - JOUR

T1 - Management of double carotid blowout with definitive repair after temporizing stent graft placement

AU - Cocca, Alexandra T.

AU - Levy, Brittany E.

AU - Castle, Jennifer T.

AU - Wilt, Wesley S.

AU - Fleming, Mark D.

AU - Kejner, Alexandra E.

AU - Aouad, Rony K.

AU - Tyagi, Samuel C.

N1 - Funding Information: The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. Publisher Copyright: © 2022

PY - 2022/12

Y1 - 2022/12

N2 - Carotid blowout syndrome is a life-threatening complication for patients with head and neck cancer. Temporizing stent graft procedures improve short-term survival and can be the definitive treatment for various reasons, including a poor oncologic prognosis, unsuitability for definitive reconstruction, or a lack of operative options. A second carotid blowout will often be fatal. Preventing such events requires multidisciplinary strategic planning because of a hostile reoperative field. We have described a case of a 44-year-old man with a history of laryngeal cancer who had experienced a carotid blowout. Treated with a stent graft, the patient had experienced a second event 6 weeks later. Treatment involved excision and suture ligation with rotational muscle flap coverage.

AB - Carotid blowout syndrome is a life-threatening complication for patients with head and neck cancer. Temporizing stent graft procedures improve short-term survival and can be the definitive treatment for various reasons, including a poor oncologic prognosis, unsuitability for definitive reconstruction, or a lack of operative options. A second carotid blowout will often be fatal. Preventing such events requires multidisciplinary strategic planning because of a hostile reoperative field. We have described a case of a 44-year-old man with a history of laryngeal cancer who had experienced a carotid blowout. Treated with a stent graft, the patient had experienced a second event 6 weeks later. Treatment involved excision and suture ligation with rotational muscle flap coverage.

KW - Carotid blowout

KW - Carotid ligation

KW - Laryngeal cancer

KW - Stent graft

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M3 - Article

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EP - 609

JO - Journal of Vascular Surgery Cases, Innovations and Techniques

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ER -

Management of double carotid blowout with definitive repair after temporizing stent graft placement

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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