Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
 free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 free
 free
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
lüll
Endovascular therapy for the carotid blowout syndrome in head and neck surgical patients: diagnostic and managerial considerations Chaloupka JC; Putman CM; Citardi MJ; Ross DA; Sasaki CTAJNR Am J Neuroradiol 1996[May]; 17 (5): 843-52PURPOSE: To review our institution's recent experience with patients with carotid blowout syndrome who were referred for emergency diagnostic angiography and endovascular therapy. METHODS: Eighteen consecutive patients who had had surgery for cancer of the head and neck and in whom carotid blowout syndrome had occurred were referred to our service in accordance with a standardized protocol. RESULTS: Twenty-three angiographic pathoetiologic conditions were diagnosed in the 18 patients; the majority of these were pseudoaneurysms involving various segments of the carotid system. Multiple lesions were detected in five patients. Most patients were treated by means of permanent balloon occlusion; in 8 patients with either multiple lesions or impending rupture requiring flap reconstruction, a composite permanent balloon occlusion of the affected carotid system was performed. Hyperacute hemorrhages were arrested in all cases. Hemorrhages reoccurred in 2 cases, and in 2 patients who had permanent balloon occlusion of the internal carotid artery, transient ischemic attacks occurred, which appeared to be related to temporary collateral reserve failure. No permanent neurologic complications ensued. CONCLUSION: Our recent experience with carotid blowout syndrome suggests that this clinical diagnosis represents a heterogeneous group of angiographic pathoetiologies that the physician should evaluate carefully before proceeding with endovascular therapy. Specific endovascular approaches depend on the pathoetiologic mechanism of active or impending hemorrhage and the urgency with which intervention is required.|*Embolization, Therapeutic/adverse effects/instrumentation[MESH]|Adult[MESH]|Aged[MESH]|Aneurysm, Ruptured/diagnostic imaging/*therapy[MESH]|Angiography, Digital Subtraction[MESH]|Carotid Artery Diseases/diagnostic imaging/*therapy[MESH]|Carotid Artery, Common[MESH]|Carotid Artery, External[MESH]|Carotid Artery, Internal[MESH]|Collateral Circulation[MESH]|Emergencies[MESH]|Female[MESH]|Follow-Up Studies[MESH]|Head and Neck Neoplasms/*surgery[MESH]|Humans[MESH]|Ischemic Attack, Transient/etiology[MESH]|Male[MESH]|Middle Aged[MESH]|Postoperative Hemorrhage/therapy[MESH]|Radiography, Interventional[MESH]|Recurrence[MESH]|Surgical Flaps[MESH]|Treatment Outcome[MESH] |
