Outcomes Following Treatment for Carotid Blowout in Head and Neck Cancer Patients
© 2023 The American Laryngological, Rhinological and Otological Society, Inc..
OBJECTIVE: The aim of the study was to determine outcomes after interventional radiology treatment of carotid blowout.
METHODS: Patients with head and neck cancer and who received interventional radiology treatment for carotid blowout between 2000 and 2022 were included. Pre-treatment, treatment, and post-treatment variables were evaluated.
RESULTS: Fourteen patients met inclusion criteria. Eleven patients (78.6%) had a history of radiation. Twelve (85.7%) blowouts occurred within 6 months of recent intervention. Initial treatment was with stenting (n = 9, 64.3%), coil embolization (n = 4, 28.6%), or both (n = 1, 7.1%). Six patients (42.9%) underwent subsequent carotid bypass. Morbidity following treatment included stroke (n = 1) and rebleeding (n = 4). Six-month survival was 57.1%. Of the patients who survived past six months, 5/8 were treated with carotid bypass and coverage. Four patients died of cancer progression, three of rebleeding, and three of medical complications.
CONCLUSION: The majority of carotid blowout occurs within 6 months of surgery or radiation. Many who survive will die of cancer progression or medical illness. Carotid bypass with flap coverage may be a worthwhile treatment for carotid blowout and should be considered as an adjunct to endovascular treatment.
LEVEL OF EVIDENCE: 4 Laryngoscope, 134:695-700, 2024.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:134 |
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| Enthalten in: |
The Laryngoscope - 134(2024), 2 vom: 18. Jan., Seite 695-700 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Buncke, Michelle [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 18.01.2024 Date Revised 18.01.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/lary.30899 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM359628397 |
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| 500 | |a Date Revised 18.01.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023 The American Laryngological, Rhinological and Otological Society, Inc. | ||
| 520 | |a OBJECTIVE: The aim of the study was to determine outcomes after interventional radiology treatment of carotid blowout | ||
| 520 | |a METHODS: Patients with head and neck cancer and who received interventional radiology treatment for carotid blowout between 2000 and 2022 were included. Pre-treatment, treatment, and post-treatment variables were evaluated | ||
| 520 | |a RESULTS: Fourteen patients met inclusion criteria. Eleven patients (78.6%) had a history of radiation. Twelve (85.7%) blowouts occurred within 6 months of recent intervention. Initial treatment was with stenting (n = 9, 64.3%), coil embolization (n = 4, 28.6%), or both (n = 1, 7.1%). Six patients (42.9%) underwent subsequent carotid bypass. Morbidity following treatment included stroke (n = 1) and rebleeding (n = 4). Six-month survival was 57.1%. Of the patients who survived past six months, 5/8 were treated with carotid bypass and coverage. Four patients died of cancer progression, three of rebleeding, and three of medical complications | ||
| 520 | |a CONCLUSION: The majority of carotid blowout occurs within 6 months of surgery or radiation. Many who survive will die of cancer progression or medical illness. Carotid bypass with flap coverage may be a worthwhile treatment for carotid blowout and should be considered as an adjunct to endovascular treatment | ||
| 520 | |a LEVEL OF EVIDENCE: 4 Laryngoscope, 134:695-700, 2024 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a carotid blowout | |
| 650 | 4 | |a carotid replacement | |
| 650 | 4 | |a stenting | |
| 700 | 1 | |a Bhatnagar, Kavita |e verfasserin |4 aut | |
| 700 | 1 | |a Yang, Sara |e verfasserin |4 aut | |
| 700 | 1 | |a Tan, Kenneth |e verfasserin |4 aut | |
| 700 | 1 | |a Slijepcevic, Allison A |e verfasserin |4 aut | |
| 700 | 1 | |a Young, Gavin |e verfasserin |4 aut | |
| 700 | 1 | |a Andersen, Peter |e verfasserin |4 aut | |
| 700 | 1 | |a Wax, Mark K |e verfasserin |4 aut | |
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