Publicação
Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review
| Resumo: | Aim: Carotid blowout syndrome is a rare but devastating complication of head and neck malignancy, and is associated with a reported mortality and neurologic morbidity of 40% and 60% respectively. The aim of this case report is to present our experience with a single case of massive haemorrhage from the internal carotid artery (ICA) in a previously irradiated neck treated with a stentgraft, hence maintaining carotid artery patency. Methods: Relevant medical data were collected and literature review was performed. Results: The patient is a 61-year-old male with a previous history of head and neck cancer submitted to radical surgery and chemo and radiotherapy. Seven years later, the patient was diagnosed with osteoradionecrosis of the mandibula and submitted to surgery. Hospital stay was prolonged due to local infection and suture dehiscence with carotid artery exposure. No previous episodes of sentinel bleeding were registered. Life-threatening haemorrhage from the surgical wound started acutely. Under manual compression, the patient was rushed to the angiography suite and the diagnostic angiography ascertained active bleeding from the ICA. A stentgraft Atrium Advanta V12 (Maquet Getinge group, Hudson, NH, USA) was deployed maintaining ICA patency. The patient was subsequently submitted to surgical reconstruction and had an uneventful recovery. Discussion: Management of acute carotid blow syndrome is critical, often requiring a multidisciplinary approach. Stentgraft placement is a highly feasible and effective approach with lower morbimortality rates when compared to surgical repair/ ligation or endovascular embolization. However long term results with patency rates are currently lacking. |
|---|---|
| Autores principais: | Coelho,Andreia |
| Outros Autores: | Lobo,Miguel; Coelho,Gustavo; Azevedo,Marta; Campos,Jacinta; Augusto,Rita; Coelho,Nuno; Semião,Ana Carolina; Ribeiro,João Pedro; Costa,Horácio; Canedo,Alexandra |
| Assunto: | Carotid Blowout Sindrome Endovascular Procedures Carotid Artery Injuries |
| Ano: | 2018 |
| País: | Portugal |
| Tipo de documento: | relatório |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Fundação para a Ciência e Tecnologia |
| Idioma: | inglês |
| Origem: | SciELO Portugal |
| _version_ | 1868441876949893120 |
|---|---|
| author | Coelho,Andreia |
| author2 | Lobo,Miguel Coelho,Gustavo Azevedo,Marta Campos,Jacinta Augusto,Rita Coelho,Nuno Semião,Ana Carolina Ribeiro,João Pedro Costa,Horácio Canedo,Alexandra |
| author2_role | author author author author author author author author author author |
| author_facet | Coelho,Andreia Lobo,Miguel Coelho,Gustavo Azevedo,Marta Campos,Jacinta Augusto,Rita Coelho,Nuno Semião,Ana Carolina Ribeiro,João Pedro Costa,Horácio Canedo,Alexandra |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Coelho,Andreia\"},{\"Person.name\":\"Lobo,Miguel\"},{\"Person.name\":\"Coelho,Gustavo\"},{\"Person.name\":\"Azevedo,Marta\"},{\"Person.name\":\"Campos,Jacinta\"},{\"Person.name\":\"Augusto,Rita\"},{\"Person.name\":\"Coelho,Nuno\"},{\"Person.name\":\"Semião,Ana Carolina\"},{\"Person.name\":\"Ribeiro,João Pedro\"},{\"Person.name\":\"Costa,Horácio\"},{\"Person.name\":\"Canedo,Alexandra\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Coelho,Andreia Lobo,Miguel Coelho,Gustavo Azevedo,Marta Campos,Jacinta Augusto,Rita Coelho,Nuno Semião,Ana Carolina Ribeiro,João Pedro Costa,Horácio Canedo,Alexandra |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Carotid Blowout Sindrome Endovascular Procedures Carotid Artery Injuries |
| datacite.titles.title.fl_str_mv | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review |
| dc.creator.none.fl_str_mv | Coelho,Andreia Lobo,Miguel Coelho,Gustavo Azevedo,Marta Campos,Jacinta Augusto,Rita Coelho,Nuno Semião,Ana Carolina Ribeiro,João Pedro Costa,Horácio Canedo,Alexandra |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2018000300010 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Angiologia e Cirurgia Vascular v.14 n.3 2018 |
| dc.subject.none.fl_str_mv | Carotid Blowout Sindrome Endovascular Procedures Carotid Artery Injuries |
| dc.title.fl_str_mv | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_93fc |
| description | Aim: Carotid blowout syndrome is a rare but devastating complication of head and neck malignancy, and is associated with a reported mortality and neurologic morbidity of 40% and 60% respectively. The aim of this case report is to present our experience with a single case of massive haemorrhage from the internal carotid artery (ICA) in a previously irradiated neck treated with a stentgraft, hence maintaining carotid artery patency. Methods: Relevant medical data were collected and literature review was performed. Results: The patient is a 61-year-old male with a previous history of head and neck cancer submitted to radical surgery and chemo and radiotherapy. Seven years later, the patient was diagnosed with osteoradionecrosis of the mandibula and submitted to surgery. Hospital stay was prolonged due to local infection and suture dehiscence with carotid artery exposure. No previous episodes of sentinel bleeding were registered. Life-threatening haemorrhage from the surgical wound started acutely. Under manual compression, the patient was rushed to the angiography suite and the diagnostic angiography ascertained active bleeding from the ICA. A stentgraft Atrium Advanta V12 (Maquet Getinge group, Hudson, NH, USA) was deployed maintaining ICA patency. The patient was subsequently submitted to surgical reconstruction and had an uneventful recovery. Discussion: Management of acute carotid blow syndrome is critical, often requiring a multidisciplinary approach. Stentgraft placement is a highly feasible and effective approach with lower morbimortality rates when compared to surgical repair/ ligation or endovascular embolization. However long term results with patency rates are currently lacking. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | report |
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| identifier.url.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2018000300010 |
| instacron_str | SciELO |
| institution | Fundação para a Ciência e Tecnologia |
| instname_str | Fundação para a Ciência e Tecnologia |
| language | eng |
| network_acronym_str | scielopt |
| network_name_str | SciELO Portugal |
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| person_str_mv | Coelho,Andreia Lobo,Miguel Coelho,Gustavo Azevedo,Marta Campos,Jacinta Augusto,Rita Coelho,Nuno Semião,Ana Carolina Ribeiro,João Pedro Costa,Horácio Canedo,Alexandra |
| publishDate | 2018 |
| publisher.none.fl_str_mv | Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
| reponame_str | SciELO Portugal |
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| spelling | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature reviewCoelho,AndreiaLobo,MiguelCoelho,GustavoAzevedo,MartaCampos,JacintaAugusto,RitaCoelho,NunoSemião,Ana CarolinaRibeiro,João PedroCosta,HorácioCanedo,AlexandraCarotid Blowout SindromeEndovascular ProceduresCarotid Artery Injuriesopen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2018000300010URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2018000300010URLHasVersion2018-09-01Aim: Carotid blowout syndrome is a rare but devastating complication of head and neck malignancy, and is associated with a reported mortality and neurologic morbidity of 40% and 60% respectively. The aim of this case report is to present our experience with a single case of massive haemorrhage from the internal carotid artery (ICA) in a previously irradiated neck treated with a stentgraft, hence maintaining carotid artery patency. Methods: Relevant medical data were collected and literature review was performed. Results: The patient is a 61-year-old male with a previous history of head and neck cancer submitted to radical surgery and chemo and radiotherapy. Seven years later, the patient was diagnosed with osteoradionecrosis of the mandibula and submitted to surgery. Hospital stay was prolonged due to local infection and suture dehiscence with carotid artery exposure. No previous episodes of sentinel bleeding were registered. Life-threatening haemorrhage from the surgical wound started acutely. Under manual compression, the patient was rushed to the angiography suite and the diagnostic angiography ascertained active bleeding from the ICA. A stentgraft Atrium Advanta V12 (Maquet Getinge group, Hudson, NH, USA) was deployed maintaining ICA patency. The patient was subsequently submitted to surgical reconstruction and had an uneventful recovery. Discussion: Management of acute carotid blow syndrome is critical, often requiring a multidisciplinary approach. Stentgraft placement is a highly feasible and effective approach with lower morbimortality rates when compared to surgical repair/ ligation or endovascular embolization. However long term results with patency rates are currently lacking.Sociedade Portuguesa de Angiologia e Cirurgia VascularAngiologia e Cirurgia Vascular v.14 n.3 2018text/htmlengreporthttp://purl.org/coar/resource_type/c_93fcother research product |
| spellingShingle | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review Coelho,Andreia Carotid Blowout Sindrome Endovascular Procedures Carotid Artery Injuries |
| status | SINGLETON |
| subject.fl_str_mv | Carotid Blowout Sindrome Endovascular Procedures Carotid Artery Injuries |
| title | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review |
| title_full | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review |
| title_fullStr | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review |
| title_full_unstemmed | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review |
| title_short | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review |
| title_sort | Endovascular management of life-threatening carotid blowout syndrome after osteoradionecrosis of the mandibula: a case report and literature review |
| topic | Carotid Blowout Sindrome Endovascular Procedures Carotid Artery Injuries |
| topic_facet | Carotid Blowout Sindrome Endovascular Procedures Carotid Artery Injuries |
| url | http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2018000300010 |
| visible | 1 |