ArticleAJNR. American journal of neuroradiology2014
CT angiography findings in carotid blowout syndrome and its role as a predictor of 1-year survival.
Article in AJNR. American journal of neuroradiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Pooled it
- Differentiating high-flow vascular lesions from clinical and hemodynamic mimics in the head and neck: a pattern-based multimodality imaging approach.Neuroradiology · 2026Review
- Recurrent Carotid Blowout Syndrome Managed by Infratemporal Internal Carotid Ligation: A Case Report.Case reports in otolaryngology · 2026Article
- Delayed otorrhagia due to Radiation-induced external carotid artery pseudoaneurysm complicated by Temporal bone osteoradionecrosis in nasopharyngeal carcinoma: A case report and literature review.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 · 2026Review
- The imaging presentation of head and neck oncologic emergencies.Journal of clinical imaging science · 2025Article
- Imaging of the Posttreatment Head and Neck: Expected Findings and Potential Complications.Radiology. Imaging cancer · 2024Review
- Deconstructive vs. reconstructive endovascular treatment paradigms in acute carotid blowout.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Challenges in Managing Intractable Epistaxis in a Post-nasal Surgery and Radiated Cancer Patient: A Case Report and Literature Review.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023Article
- Risk factors for rebleeding and long-term outcomes in patients with head and neck cancer bleeding: a multicenter study.BMC cancer · 2022Article
- A Technical Guide to Palliative Ablation of Recurrent Cancers in the Deep Spaces of the Suprahyoid Neck.Seminars in interventional radiology · 2022Review
- In-Hospital and Long-Term Outcomes in Patients with Head and Neck Cancer Bleeding.Medicina (Kaunas, Lithuania) · 2022Article
- Skull Base Reconstruction Using a Temporoparietal Galeal Flap in Simultaneous Transnasal and Transcranial Surgery for the Prevention of Carotid Blowout Syndrome: A Report of 3 Cases.Journal of neurological surgery. Part B, Skull base · 2021Article
- Prevention and early management of carotid blowout syndrome for patients receiving head and neck salvage boron neutron capture therapy (BNCT).Journal of dental sciences · 2021Article
- Rupture of carotid artery pseudoaneurysm in the modern era of definitive chemoradiation for head and neck cancer: Two case reports.World journal of clinical cases · 2020Article
- Transarterial embolization of acute carotid blowout syndrome postneck dissection.Radiology case reports · 2020Article
- Transcarotid Mechanical Thrombectomy for Embolic Intracranial Large Vessel Occlusion after Endovascular Deconstructice Embolization for Carotid Blowout Syndrome.Neurointervention · 2020Article
- Prediction of Borderzone Infarction by CTA in Patients Undergoing Carotid Embolization for Carotid Blowout.AJNR. American journal of neuroradiology · 2018Article
- Carotid blowout syndrome: modern trends in management.Cancer management and research · 2018Review
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeCarotid blowout is a serious late complication of prior treatment of advanced head and neck cancer. We evaluate the efficacy of CTA in the diagnosis of impending carotid blowout syndrome in patients with head and neck cancer, and its capability to predict clinical outcome. MATERIALS AND
methodsThe clinical data of 29 patients with impending carotid blowout who underwent CTA were collected and analyzed. Imaging signs included tissue necrosis, exposed artery, viable perivascular tumor, pseudoaneurysm, and contrast extravasation. DSA was obtained in 20 patients. One-year outcomes were compared based on management.
resultsThe most common CTA finding was necrosis (94%), followed by exposed artery (73%), viable tumor (67%), pseudoaneurysm (58%), and contrast extravasation (30%). Exposed artery, pseudoaneurysm, and contrast extravasation were the 3 CTA findings related to outcomes. All of the pseudoaneurysm and contrast extravasation cases were associated with an exposed artery. An exposed artery was the most important prognostic predictor and could not be diagnosed on DSA. Patients without the 3 findings on CTA (group 1) had the best survival rate at 1-year follow-up, followed by patients with the 3 findings treated immediately by permanent artery occlusion (group 2). Patients with the 3 findings who had no immediate treatment (group 3) had the worst outcomes (P < .001 in group 1 vs group 3 and group 2 vs group 3; P = .056 group 1 vs group 2).
conclusionsCTA, with its ability to diagnose an exposed artery compared with DSA, may offer important management and prognostic information in patients with impending carotid blowout.
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Registered trials
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