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Research ArticleInterventional

Acute Life-Threatening Hemorrhage in Patients with Head and Neck Cancer Presenting with Carotid Blowout Syndrome: Follow-Up Results after Initial Hemostasis with Covered-Stent Placement

H. Shah, J.J. Gemmete, N. Chaudhary, A.S. Pandey and S.A. Ansari
American Journal of Neuroradiology April 2011, 32 (4) 743-747; DOI: https://doi.org/10.3174/ajnr.A2379
H. Shah
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J.J. Gemmete
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N. Chaudhary
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A.S. Pandey
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S.A. Ansari
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    Fig 1.

    A 51-year-old woman with glottic and hypopharyngeal cancer who presented with hemoptysis (On-line Table). A, Axial contrast-enhanced CT scan of the neck shows extravasation from the RCCA (arrow) with surrounding air. B, AP RCCA angiogram shows the area of extravasation (arrow). C, AP roadmap of the RCCA shows placement of a covered stent (long arrows) across the area of extravasation (short arrow). D, AP RCCA angiogram after covered stent (long arrows) placement shows no evidence of extravasation (short arrow).

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    Fig 2.

    A 65-year-old man with laryngeal cancer who presented with bright red blood from the tracheostomy site (On-line Table). A, 3D surface-rendering angiogram of the RCCA shows a small pseudoaneurysm (arrow). B, AP RCCA angiogram shows placement of a covered stent (long arrows) across the pseudoaneurysm. C, Three-month follow-up RCCA angiogram shows the development of a pseudoaneurysm (thick arrow) at the distal end of the covered stent (long arrows). D, After coil occlusion of the RCCA and RICA, a right brachiocephalic arteriogram shows occlusion of the RCCA (thick arrow) with coils within the RCCA (long arrow).

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American Journal of Neuroradiology: 32 (4)
American Journal of Neuroradiology
Vol. 32, Issue 4
1 Apr 2011
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Cite this article
H. Shah, J.J. Gemmete, N. Chaudhary, A.S. Pandey, S.A. Ansari
Acute Life-Threatening Hemorrhage in Patients with Head and Neck Cancer Presenting with Carotid Blowout Syndrome: Follow-Up Results after Initial Hemostasis with Covered-Stent Placement
American Journal of Neuroradiology Apr 2011, 32 (4) 743-747; DOI: 10.3174/ajnr.A2379

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Acute Life-Threatening Hemorrhage in Patients with Head and Neck Cancer Presenting with Carotid Blowout Syndrome: Follow-Up Results after Initial Hemostasis with Covered-Stent Placement
H. Shah, J.J. Gemmete, N. Chaudhary, A.S. Pandey, S.A. Ansari
American Journal of Neuroradiology Apr 2011, 32 (4) 743-747; DOI: 10.3174/ajnr.A2379
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  • Safety and effectiveness of endovascular embolization or stent‐graft reconstruction for treatment of acute carotid blowout syndrome in patients with head and neck cancer: Case series and systematic review of observational studies
    Daniel J. Y. Wong, Christopher Donaldson, Leon T. Lai, Andrew Coleman, Charles Giddings, Lee‐Anne Slater, Ronil V. Chandra
    Head & Neck 2018 40 4
  • Neck Neoplastic Conditions in the Emergency Setting: Role of Multidetector Computed Tomography
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  • Contemporary management of carotid blowout syndrome utilizing endovascular techniques
    Nauman F. Manzoor, Rod P. Rezaee, Abhishek Ray, Cameron C. Wick, Kristine Blackham, David Stepnick, Pierre Lavertu, Chad A. Zender
    The Laryngoscope 2017 127 2
  • Polytetrafluoroethylene‐covered nitinol stent graft for treatment of carotid artery blowout syndrome in head and neck cancer patients
    Antoine Hakime, Elias Khoury, Amine Hameg, Renan Liberge, Frederic Deschamps, Geoffroy Farouil, Julien Joskin, Lambros Tselikas, Stephane Temam, François Janot, Thierry De Baere
    The Laryngoscope 2013 123 7
  • Evaluation of the outcomes of endovascular management for patients with head and neck cancers and associated carotid blowout syndrome of the external carotid artery
    F.-C. Chang, C.-B. Luo, J.-F. Lirng, C.-J. Lin, H.-M. Wu, S.-C. Hung, W.-Y. Guo, M.M.H. Teng, C.-Y. Chang
    Clinical Radiology 2013 68 11
  • Carotid blowout syndrome in patients treated by larynx cancer
    Carlos Miguel Chiesa Estomba, Frank Alberto Betances Reinoso, Alejandra Osorio Velasquez, Olalla Castro Macia, Maria Jesus Gonzalez Cortés, Jesus Araujo Nores
    Brazilian Journal of Otorhinolaryngology 2017 83 6
  • Covered stents safely utilized to prevent catastrophic hemorrhage in patients with advanced head and neck malignancy
    Todd Miller, Judah Burns, Joaquim Farinhas, David Pasquale, Amit Haboosheh, Jacqueline A Bello, Allan Brook
    Journal of NeuroInterventional Surgery 2012 4 6

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