• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

预防性置入覆膜镍钛合金支架以预防一名患有锁骨上淋巴结转移食管癌患者的颈动脉破裂。

Prophylactic placement of a covered nitinol stent to prevent carotid blowout in a patient with supraclavicular lymph node metastasis from esophageal cancer.

作者信息

Fujita Takeshi, Ito Katsuyoshi, Tanabe Masahiro, Matsunaga Naofumi

机构信息

Department of Radiology, Ube Industries, Ltd. Central Hospital, 750 Nishikiwa, Ube, Yamaguchi 755-0151 Japan.

Department of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192 Japan.

出版信息

Springerplus. 2015 Aug 25;4:448. doi: 10.1186/s40064-015-1243-9. eCollection 2015.

DOI:10.1186/s40064-015-1243-9
PMID:26322254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4547978/
Abstract

Enlargement of primary tumor and metastatic lymph nodes in patients with head and neck cancer can be progressive and invade the surrounding vessels despite intensive treatment. Carotid blowout (CBS) tends to occur in these patients, and prompt treatment is required. Surgical management of carotid blowout is technically troublesome because exploration and repair of the previously irradiated or tumor-invaded field are difficult. Endovascular therapy with stent deployment is a good alternative to surgery. Even with such interventional procedures as stent grafting, it is sometimes difficult to obtain favorable outcomes in end-stage patients with poor general conditions. The prophylactic placement of a covered nitinol stent was performed to prevent carotid blowout in a patient with supraclavicular lymph node metastasis from esophageal cancer, and fatal bleeding due to carotid blowout was avoided. The usefulness of the prophylactic placement of a covered nitinol stent for preventing carotid blowout in an end-stage patient is presented.

摘要

尽管进行了强化治疗，但头颈癌患者的原发性肿瘤和转移性淋巴结仍可能逐渐增大并侵犯周围血管。这些患者容易发生颈动脉破裂（CBS），需要及时治疗。颈动脉破裂的手术治疗在技术上较为棘手，因为对先前接受过放疗或被肿瘤侵犯的区域进行探查和修复很困难。血管内支架置入治疗是手术的良好替代方案。即使采用支架植入等介入手术，对于一般状况较差的晚期患者，有时也难以取得理想的治疗效果。对一名患有锁骨上淋巴结转移的食管癌患者进行了带覆膜镍钛合金支架的预防性置入，以预防颈动脉破裂，从而避免了因颈动脉破裂导致的致命性出血。本文介绍了带覆膜镍钛合金支架预防性置入在晚期患者中预防颈动脉破裂的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/3851e3d9b6d9/40064_2015_1243_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/4788e1923f90/40064_2015_1243_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/e2b10571eb87/40064_2015_1243_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/7c35b3236521/40064_2015_1243_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/8563e5c1314c/40064_2015_1243_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/3851e3d9b6d9/40064_2015_1243_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/4788e1923f90/40064_2015_1243_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/e2b10571eb87/40064_2015_1243_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/7c35b3236521/40064_2015_1243_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/8563e5c1314c/40064_2015_1243_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f104/4547978/3851e3d9b6d9/40064_2015_1243_Fig5_HTML.jpg

相似文献

1
Prophylactic placement of a covered nitinol stent to prevent carotid blowout in a patient with supraclavicular lymph node metastasis from esophageal cancer.预防性置入覆膜镍钛合金支架以预防一名患有锁骨上淋巴结转移食管癌患者的颈动脉破裂。
Springerplus. 2015 Aug 25;4:448. doi: 10.1186/s40064-015-1243-9. eCollection 2015.
2
Polytetrafluoroethylene-covered nitinol stent graft for treatment of carotid artery blowout syndrome in head and neck cancer patients.聚四氟乙烯覆膜镍钛合金支架移植物治疗头颈部癌症患者颈动脉破裂综合征。
Laryngoscope. 2013 Jul;123(7):1670-5. doi: 10.1002/lary.24006. Epub 2013 Mar 11.
3
Covered Stents for the Prevention and Treatment of Carotid Blowout Syndrome.用于预防和治疗颈动脉破裂综合征的覆膜支架
Neurosurgery. 2015 Aug;77(2):164-7. doi: 10.1227/NEU.0000000000000738.
4
Endovascular Treatment of Carotid Blowout Syndrome.颈动脉破裂综合征的血管内治疗
Rev Port Cir Cardiotorac Vasc. 2017 Jul-Dec;24(3-4):170.
5
Covered Stent Graft for Treatment of Carotid Blowout Syndrome in Patients With Head and Neck Cancer.覆膜支架移植物治疗头颈部癌症伴颈动脉破裂综合征患者。
JAMA Otolaryngol Head Neck Surg. 2024 Nov 1;150(11):995-1001. doi: 10.1001/jamaoto.2024.3228.
6
Interventional management of head and neck emergencies: carotid blowout.头颈部急症的介入治疗：颈动脉破裂
Semin Intervent Radiol. 2013 Sep;30(3):245-8. doi: 10.1055/s-0033-1353477.
7
[A Rebleeding Case of Carotid Blowout Syndrome after Endovascular Treatment with Covered Stent].
No Shinkei Geka. 2020 Oct;48(10):935-940. doi: 10.11477/mf.1436204299.
8
Endovascular management of the carotid blowout syndrome: a single-center experience.颈动脉破裂综合征的血管内治疗：单中心经验。
Eur Arch Otorhinolaryngol. 2019 Oct;276(10):2881-2886. doi: 10.1007/s00405-019-05548-9. Epub 2019 Jul 9.
9
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.
10
Endovascular covered stent reconstruction improved the outcomes of acute carotid blowout syndrome. Experiences at a single institute.血管内覆膜支架重建术改善了急性颈动脉破裂综合征的治疗效果。单中心经验。
Interv Neuroradiol. 2008 Nov 11;14 Suppl 2(Suppl 2):23-7. doi: 10.1177/15910199080140S206. Epub 2009 Jan 2.

本文引用的文献

1
Radiotherapy and chemotherapy are associated with improved outcomes over surgery and chemotherapy in the management of limited-stage small cell esophageal carcinoma.放疗和化疗联合手术和化疗治疗局限期小细胞食管鳞癌可改善预后。
Radiother Oncol. 2013 Mar;106(3):317-22. doi: 10.1016/j.radonc.2013.01.008. Epub 2013 Feb 23.
2
Oesophageal carcinoma.食管癌。
Lancet. 2013 Feb 2;381(9864):400-12. doi: 10.1016/S0140-6736(12)60643-6.
3
Oesophageal cancer--an overview.食管癌概述。
Nat Rev Gastroenterol Hepatol. 2013 Apr;10(4):230-44. doi: 10.1038/nrgastro.2012.236. Epub 2013 Jan 8.
4
Lymphangiogenesis and lymphovascular invasion diminishes prognosis in esophageal cancer.淋巴管生成和脉管侵犯降低食管癌的预后。
Surgery. 2013 Apr;153(4):526-34. doi: 10.1016/j.surg.2012.10.007. Epub 2013 Jan 4.
5
Patients with head and neck cancers and associated postirradiated carotid blowout syndrome: endovascular therapeutic methods and outcomes.头颈部癌症患者及相关放疗后颈动脉破裂综合征：血管内治疗方法及结果
J Vasc Surg. 2008 May;47(5):936-45. doi: 10.1016/j.jvs.2007.12.030. Epub 2008 Mar 6.
6
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.
7
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.
8
Endovascular management of impending carotid rupture in a patient with advanced head and neck cancer.晚期头颈癌患者即将发生的颈动脉破裂的血管内治疗
J Endovasc Ther. 2003 Feb;10(1):54-7. doi: 10.1177/152660280301000112.
9
Radiation-related arterial disease.
Am Surg. 1999 Dec;65(12):1176-9.
10
Recurrent carotid blowout syndrome: diagnostic and therapeutic challenges in a newly recognized subgroup of patients.复发性颈动脉破裂综合征：新确认患者亚组中的诊断与治疗挑战
AJNR Am J Neuroradiol. 1999 Jun-Jul;20(6):1069-77.