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Endovascular management of the carotid blowout syndrome

Published online by Cambridge University Press:  15 May 2006

S J Broomfield ,
I A Bruce ,
D A Luff ,
A R Birzgalis  and
R J Ashleigh
S J Broomfield
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Wythenshawe Hospital, South Manchester University Hospitals NHS Trust, Manchester, UK
I A Bruce
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Wythenshawe Hospital, South Manchester University Hospitals NHS Trust, Manchester, UK
D A Luff
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Wythenshawe Hospital, South Manchester University Hospitals NHS Trust, Manchester, UK
A R Birzgalis
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Wythenshawe Hospital, South Manchester University Hospitals NHS Trust, Manchester, UK
R J Ashleigh
Affiliation:
Department of Radiology, Wythenshawe Hospital, South Manchester University Hospitals NHS Trust, Manchester, UK
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Abstract

Bleeding from the carotid artery or its branches (‘carotid blowout’) is a well recognized complication following treatment or recurrence of head and neck cancer. The traditional surgical treatment for carotid blowout is often technically difficult and is associated with an unacceptably high morbidity and mortality. The majority of such patients are currently treated conservatively with end of life supportive measures.

We report the case of a young patient with recurrent supraglottic carcinoma complicated by carotid blowout on two separate occasions over a five month period, which was successfully treated endovascularly under local anaesthetic, without neurological sequelae. With the continuing development of interventional radiology, endovascular techniques are now emerging as a viable, low morbidity treatment option in selected patients.

Keywords

Carotid ArteriesRadiology, InterventionalHead and Neck NeoplasmsComplicationsHaemorrhage
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 8 , August 2006 , pp. 694 - 697
Copyright
2006 JLO (1984) Limited

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