Citardi M J, Chaloupka J C, Son Y H, Ariyan S, Sasaki C T
Department of Surgery, Yale University School of Medicine, New Haven, Conn 06520-8041, USA.
Laryngoscope. 1995 Oct;105(10):1086-92. doi: 10.1288/00005537-199510000-00015.
The reported mortality (40%) and neurologic morbidity (25%) rates for carotid rupture remain unacceptably high. This study was conducted to assess the impact of endovascular detachable balloon occlusion and the changing characteristics of carotid rupture in head and neck surgery. Between January 1, 1988, and June 30, 1994, 18 carotid ruptures were identified in 15 patients. Etiologic factors included radical surgery, radiation therapy, wound complications, and recurrent or persistent carcinoma. In 15 of 18 instances of carotid rupture, patients survived without major neurologic sequelae. After the introduction of endovascular techniques in 1991, the 12 patients whose hemorrhage was definitively managed through permanent balloon occlusion survived without significant neurologic sequelae. Endovascular occlusion techniques in the monitored patient may significantly improve the outcome after carotid rupture.
据报道，颈动脉破裂的死亡率（40%）和神经功能障碍发生率（25%）仍然高得令人难以接受。本研究旨在评估血管内可脱性球囊闭塞术的影响以及头颈外科中颈动脉破裂特征的变化。在1988年1月1日至1994年6月30日期间，在15例患者中发现了18例颈动脉破裂。病因包括根治性手术、放射治疗、伤口并发症以及复发性或持续性癌。在18例颈动脉破裂病例中的15例中，患者存活且无严重神经后遗症。1991年引入血管内技术后，通过永久性球囊闭塞术最终控制出血的12例患者存活且无明显神经后遗症。在接受监测的患者中，血管内闭塞技术可能会显著改善颈动脉破裂后的预后。
