Evidence map›Paper›PMID 30519108›Full record

ReviewCancer management and research2018

Carotid blowout syndrome: modern trends in management.

Carlos Suárez, Verónica Fernández-Alvarez, Marc Hamoir, William M Mendenhall, Primoz Strojan, Miquel Quer, Carl E Silver, Juan P Rodrigo, Alessandra Rinaldo, Alfio Ferlito

Open access · goldAbstract readReview
In one paragraph

Review in Cancer management and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 156 citations in OpenAlex.

  1. Trial
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  6. Article
  7. Carotid artery stent extrusion following carotid blowout syndrome.Turk gogus kalp damar cerrahisi dergisi · 2026
    Article
  8. Article
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  14. Review
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  16. Prognosis of patients with carotid blowout syndrome in the era of endovascular interventions.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  17. Article
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  20. Radiation Vasculopathy.Cerebrovascular diseases extra · 2025
    Review

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 4 countries.

Carlos SuárezHead & Neck Cancer Laboratory, Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain, csuareznieto@gmail.com.
Verónica Fernández-AlvarezDepartment of Vascular Surgery, Hospital Universitario de Cabueñes, Gijón, Spain.
Marc HamoirDepartment of Head and Neck Surgery, Head and Neck Oncology Program, King Albert II Cancer Institute, St Luc University Hospital, Brussels, Belgium.
William M MendenhallDepartment of Radiation Oncology, University of Florida, Gainesville, FL, USA.
Primoz StrojanDepartment of Radiation Oncology, Institute of Oncology, Ljubljana, Slovenia.
Miquel QuerDepartment of Otolaryngology, Hospital Santa Creu i Sant Pau, Barcelona, Spain.
Carl E SilverDepartment of Surgery, University of Arizona, Phoenix, AZ, USA.
Juan P RodrigoHead & Neck Cancer Laboratory, Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain, csuareznieto@gmail.com.
Alessandra RinaldoUniversity of Udine School of Medicine, Udine, Italy.
Alfio FerlitoInternational Head and Neck Scientific Group Padua, Italy.
Universidad de Oviedo · ESHospital de Sant Pau · ESHospital Universitario De Cabueñes · ESInstitute of Oncology Ljubljana · SIUniversity of Arizona · USUniversity of Florida · USUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

carotid blowoutcovered stentsembolizationhead and neck cancerreirradiationsurgery

Identifiers

PMID30519108
PMCPMC6239123
OpenAlexW2900804204

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.