ArticleAJNR. American journal of neuroradiology2003
Preliminary experience with endovascular reconstruction for the management of carotid blowout syndrome.
Article in AJNR. American journal of neuroradiology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed, 135 citations in OpenAlex.
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- Embolotherapy of Head and Neck Lesions: Basics and Clinical Tips.Interventional radiology (Higashimatsuyama-shi (Japan) · 2024Review
- Efficacy analysis of endovascular treatment for ruptured internal carotid artery pseudoaneurysm hemorrhage in patients with nasopharyngeal carcinoma after radiotherapy.Frontiers in surgery · 2024Article
- Carotid blowout syndrome caused by chronic infection: A case report.World journal of clinical cases · 2022Article
- Treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique.Radiology case reports · 2022Article
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- Interventional Management of Head and Neck Tumors.Seminars in interventional radiology · 2020Review
- Intervening in the Acute Phase of Postradiation Carotid Blowout Syndrome.International archives of otorhinolaryngology · 2019Article
- Carotid Mycotic Aneurysm associated with Persistent Primitive Hypoglossal Artery. Case Report and Literature Review.Journal of radiology case reports · 2019Review
- Carotid blowout syndrome: modern trends in management.Cancer management and research · 2018Review
- Prevention and Treatment of Life-Threatening Bleeding After Thyroid Surgery.Medical science monitor : international medical journal of experimental and clinical research · 2015Article
- Emergency placement of stent-graft for symptomatic acute carotid artery occlusion after endarterectomy.BMJ case reports · 2015Article
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- Management of infected carotid artery rupture.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2014Review
- CT angiography findings in carotid blowout syndrome and its role as a predictor of 1-year survival.AJNR. American journal of neuroradiology · 2014Article
- Interventional management of head and neck emergencies: carotid blowout.Seminars in interventional radiology · 2013Review
- Endovascular treatment of a mycotic intracavernous carotid artery aneurysm using a stent graft.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2013Article
- Rapid, sequential bilateral acute carotid blowout syndrome.Neuroradiology · 2013Article
- Fatal bleeding in a nasopharyngeal carcinoma patient after concurrent chemoradiation plus cetuximab: a case report.OncoTargets and therapy · 2013Article
- Salvage of the carotid artery with covered stent after perforation with dialysis sheath. A case report.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2012Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposePermanent balloon occlusion (PBO) of the carotid artery has been previously shown to be an effective means to treat carotid blowout syndrome (CBS). However, despite the effectiveness of this endovascular technique, concern remains regarding its potential for producing delayed cerebral ischemic complications in 15% to 20% of patients. This significant limitation of carotid PBO led our group to evaluate an alternative management strategy, consisting of endovascular reconstruction of the carotid artery (ERCA) in patients thought to be at particularly high risk for carotid occlusion (ie, provocative balloon test occlusion, angiographic documented incomplete circle of Willis, or contralateral carotid artery occlusion).
methodsWe reviewed all cases of CBS referred to our service, in which ERCA was chosen as a management strategy for patients thought to be at high risk for PBO, based on previously defined criteria.
resultsSixteen carotid blowout events occurred in 12 patients with CBS who were deemed to be at high risk for cerebral ischemic complications, which were managed with ERCA by using a variety of stent devices and techniques. Adjunctive embolization of carotid pseudoaneurysms was performed in five of these patients by using platinum coils or acrylic glue. Hemostasis was achieved in all cases, although one patient with traumatic CBS and three patients with aggressive head and neck cancer-related CBS, required retreatment with ERCA. Recurrent CBS rates were similar to those reported in other studies using PBO. Overall, no treatment-related strokes or deaths occurred.
conclusionCBS managed with ERCA can be performed safely and with efficacy of outcomes at least equivalent to those previously reported in association with conventional carotid PBO, therefore representing an excellent alternative endovascular technique for patients who are at increased risk of stroke after PBO.
Indexed as
Identifiers
12748106PMC7975806W2338372942What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.