Simental Alfred, Johnson Jonas T, Horowitz Michael
Departments of Otolaryngology, The University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Am J Otolaryngol. 2003 Nov-Dec;24(6):417-9. doi: 10.1016/s0196-0709(03)00088-7.
Endovascular stents are used in a wide variety of situations including management of acute hemorrhage from a carotid artery blowout. The long-term efficacy of these devices in this setting has not been elucidated. Two cases of carotid stenting for carotid artery blowouts in the face of cervical malignancy and overlying infection were followed over time. In both patients, initial control of carotid bleeding was followed by delayed stent-related complications. Although carotid stents are useful for control of acute carotid blowouts, their long-term efficacy in the setting of head and neck malignancy and overlying infection is suspect.
血管内支架被用于多种情况，包括处理颈动脉破裂引起的急性出血。这些装置在这种情况下的长期疗效尚未阐明。对两例因颈部恶性肿瘤及覆盖感染导致颈动脉破裂而进行颈动脉支架置入术的病例进行了长期随访。在这两名患者中，颈动脉出血最初得到控制，但随后出现了与支架相关的延迟并发症。尽管颈动脉支架有助于控制急性颈动脉破裂，但在头颈部恶性肿瘤及覆盖感染的情况下，其长期疗效令人怀疑。
