Carotid blowout syndrome after reirradiation for head and neck malignancies : a comprehensive systematic review for a pragmatic multidisciplinary approach

Copyright © 2020 Elsevier B.V. All rights reserved..

AIM: To provide a literature review on risk factors and strategies to prevent acute carotid blowout (CBO) syndrome in patients who underwent reirradiation (reRT) for recurrent head and neck (HN) malignancies.

PATIENTS AND METHODS: Inclusion criteria were: 1) CBO following reRT in the HN region, 2) description on patient-, tumor- or treatment-related risk factors, 3) clinical or radiological signs of threatened or impending CBO, and 4) CBO prevention strategies.

RESULTS: Thirty-five studies were selected for the analysis from five hundred seventy-seven records. Results provided indications on clinical, radiological and dosimetric parameters possibly associated with higher risk of CBO. Endovascular procedures (artery occlusion and stenting) to prevent acute massive hemorrhage in high risk patients were discussed.

CONCLUSION: Literature data are still scarce with a low level of evidence. Nevertheless, the present work provides a comprehensive review useful for clinicians as a multidisciplinary pragmatic tool in their clinical practice.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:155

Enthalten in:

Critical reviews in oncology/hematology - 155(2020) vom: 15. Nov., Seite 103088

Sprache:

Englisch

Beteiligte Personen:

Alterio, Daniela [VerfasserIn]
Turturici, Irene [VerfasserIn]
Volpe, Stefania [VerfasserIn]
Ferrari, Annamaria [VerfasserIn]
Russell-Edu, Samuel William [VerfasserIn]
Vischioni, Barbara [VerfasserIn]
Mardighian, Dikran [VerfasserIn]
Preda, Lorenzo [VerfasserIn]
Gandini, Sara [VerfasserIn]
Marvaso, Giulia [VerfasserIn]
Augugliaro, Matteo [VerfasserIn]
Durante, Stefano [VerfasserIn]
Arculeo, Simona [VerfasserIn]
Patti, Filippo [VerfasserIn]
Boccuzzi, Dario [VerfasserIn]
Casbarra, Alessia [VerfasserIn]
Starzynska, Anna [VerfasserIn]
Santoni, Riccardo [VerfasserIn]
Jereczek-Fossa, Barbara Alicja [VerfasserIn]

Links:

Volltext

Themen:

Carotid blowout
Head and neck
Journal Article
Multidisciplinary management
Re-irradiation
Review
Risk factors
Systematic Review

Anmerkungen:

Date Completed 30.10.2020

Date Revised 30.10.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.critrevonc.2020.103088

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315282142