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冠状动脉支架移植物在颈动脉破裂治疗中的应用

Coronaric stent-graft deployment in the treatment of carotid blowout.

作者信息

Pampana E, Gandini R, Stefanini M, Fabiano S, Chiaravalloti A, Morosetti D, Spano S, Simonetti G

机构信息

Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, Tor Vergata University of Rome, Rome, Italy.

出版信息

Interv Neuroradiol. 2011 Dec;17(4):490-4. doi: 10.1177/159101991101700416. Epub 2011 Dec 16.

DOI:10.1177/159101991101700416
PMID:22192556
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3296512/
Abstract

"Carotid blowout syndrome" is defined as a hemorrhage caused by rupture of the carotid artery and its branches, and may be a severe complication of rhinopharyngeal carcinoma. This study aimed to highlight the usefulness and versatility of endovascular stent-graft placement as a rescue treatment in life-threatening carotid blowout syndrome. We describe the unconventional use of a 6 × 5 mm balloon-expandable coronaric covered stent in a patient with a diagnosis of spinocellular rhinopharyngeal carcinoma, followed by carotid blowout syndrome. Although long-term follow-up is needed to assess the eventuality of bleeding recurrence, the immediate clinical results were satisfactory.

摘要

“颈动脉破裂综合征”被定义为由颈动脉及其分支破裂引起的出血,可能是鼻咽癌的一种严重并发症。本研究旨在强调血管内支架移植物置入术作为危及生命的颈动脉破裂综合征挽救治疗方法的有效性和多功能性。我们描述了一名诊断为棘细胞鼻咽癌并随后出现颈动脉破裂综合征的患者非常规使用6×5mm球囊扩张式冠状动脉覆膜支架的情况。尽管需要长期随访来评估出血复发的可能性,但即刻临床结果令人满意。

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本文引用的文献

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Transarterial embolization for control of bleeding in patients with head and neck cancer.经动脉栓塞术控制头颈部癌症患者出血。
Otolaryngol Head Neck Surg. 2010 Jan;142(1):90-4. doi: 10.1016/j.otohns.2009.09.031. Epub 2009 Nov 26.
2
The pattern of failure after reirradiation of recurrent squamous cell head and neck cancer: implications for defining the targets.复发性头颈部鳞状细胞癌再程放疗后的失败模式:对确定靶区的意义
Int J Radiat Oncol Biol Phys. 2009 Aug 1;74(5):1342-7. doi: 10.1016/j.ijrobp.2008.10.042. Epub 2009 Jan 8.
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Dysphagia in head and neck cancer patients treated with radiation: assessment, sequelae, and rehabilitation.接受放疗的头颈癌患者的吞咽困难:评估、后遗症及康复
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Placement of covered stents for carotid blowout in patients with head and neck cancer: follow-up results after rescue treatments.头颈部癌患者颈动脉破裂置入覆膜支架:挽救治疗后的随访结果
AJNR Am J Neuroradiol. 2007 Sep;28(8):1594-8. doi: 10.3174/ajnr.A0589.
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Pseudoaneurysm of the external carotid artery branch following radiotherapy for nasopharyngeal carcinoma.鼻咽癌放疗后颈外动脉分支假性动脉瘤
Jpn J Clin Oncol. 2007 Apr;37(4):310-3. doi: 10.1093/jjco/hym019.
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Carotid blowout syndrome in patients with head-and-neck cancers: reconstructive management by self-expandable stent-grafts.头颈部癌症患者的颈动脉破裂综合征:采用自膨式覆膜支架的重建治疗
AJNR Am J Neuroradiol. 2007 Jan;28(1):181-8.
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Life-threatening common carotid artery blowout: rescue treatment with a newly designed self-expanding covered nitinol stent.危及生命的颈总动脉破裂:采用新设计的自膨式覆膜镍钛诺支架进行抢救治疗
Br J Radiol. 2006 Mar;79(939):226-31. doi: 10.1259/bjr/66917189.
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Carotid stenting for impending carotid blowout: suitable supportive care for head and neck cancer patients?颈动脉支架置入术治疗即将发生的颈动脉破裂:对头颈部癌症患者合适的支持性治疗?
Palliat Med. 2005 Jul;19(5):427-9. doi: 10.1191/0269216305pm1032oa.
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The management of carotid artery rupture.
Eur Arch Otorhinolaryngol. 2005 Jul;262(7):555-60. doi: 10.1007/s00405-004-0775-3. Epub 2005 Mar 17.
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Massive epistaxis related to petrous carotid artery pseudoaneurysm after radiation therapy: emergency treatment with covered stent in two cases.放射治疗后与岩骨颈动脉假性动脉瘤相关的大量鼻出血:两例覆膜支架紧急治疗
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