Shankar J J S, Maloney W J, Vandorpe R
Department of Diagnostic Imaging, Division of Neuroradiology, QE II Hospital, Halifax, Canada.
Interv Neuroradiol. 2011 Jun;17(2):224-7. doi: 10.1177/159101991101700214. Epub 2011 Jun 20.
Carotid blowout is a devastating complication in patients with head and neck malignancy. Various treatments including high risk surgery, carotid stenting or carotid occlusion using either coils or detachable balloons have been described. The key for any treatment is the rapidity at which it can be performed. We describe treatment of common carotid blowout secondary to neoplastic infiltration using four Amplatzer vascular plugs deployed in less than ten minutes.
颈动脉破裂是头颈部恶性肿瘤患者的一种灾难性并发症。已经描述了各种治疗方法,包括高风险手术、颈动脉支架置入术或使用线圈或可脱性球囊进行颈动脉闭塞术。任何治疗的关键在于实施的速度。我们描述了使用四个Amplatzer血管塞在不到十分钟内治疗因肿瘤浸润继发的颈总动脉破裂的方法。