Treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique

Carotid blowout syndrome is a rare clinical conditions with a high mortality rate, especially in patients with head and neck tumors who have received radiotherapy and chemotherapy. We present our patient who had hemangioendothelioma of the neck for 5 years and therefore received radiotherapy, fistul...

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Autores principales:	Mehmet Kolu, Asistant Professor, İsmail Okan Yıldırım, Associate Professor
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Carotid blowout syndrome Embolization N-butyl cyanoakrylate Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/dc439ca7db0d4cc8aeed3d70e295df67
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spelling	oai:doaj.org-article:dc439ca7db0d4cc8aeed3d70e295df672021-11-28T04:29:48ZTreatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique1930-043310.1016/j.radcr.2021.10.054https://doaj.org/article/dc439ca7db0d4cc8aeed3d70e295df672022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007743https://doaj.org/toc/1930-0433Carotid blowout syndrome is a rare clinical conditions with a high mortality rate, especially in patients with head and neck tumors who have received radiotherapy and chemotherapy. We present our patient who had hemangioendothelioma of the neck for 5 years and therefore received radiotherapy, fistulized to the skin on the neck and active bleeding out of the fistula area. In the radiological imaging of the patient, vessel wall irregularities in the common carotid artery (CCA) and accompanying pseudoaneurysm with a diameter of 3 cm were detected, and endovascular treatment was performed. After the patient passed the balloon occlusion test, first the proximal internal carotid artery was closed with coils. Then, the balloon was inflated proximal to the CCA and a 10% diluted glue-lipiodol mixture was injected into the entire diseased CCA bed. Closure of the distal with coil and proximal with balloon prevented the risk of off-target embolization of the glue.Mehmet Kolu, Asistant Professorİsmail Okan Yıldırım, Associate ProfessorElsevierarticleCarotid blowout syndromeEmbolizationN-butyl cyanoakrylateMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 2, Pp 310-313 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Carotid blowout syndrome Embolization N-butyl cyanoakrylate Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Carotid blowout syndrome Embolization N-butyl cyanoakrylate Medical physics. Medical radiology. Nuclear medicine R895-920 Mehmet Kolu, Asistant Professor İsmail Okan Yıldırım, Associate Professor Treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique
description	Carotid blowout syndrome is a rare clinical conditions with a high mortality rate, especially in patients with head and neck tumors who have received radiotherapy and chemotherapy. We present our patient who had hemangioendothelioma of the neck for 5 years and therefore received radiotherapy, fistulized to the skin on the neck and active bleeding out of the fistula area. In the radiological imaging of the patient, vessel wall irregularities in the common carotid artery (CCA) and accompanying pseudoaneurysm with a diameter of 3 cm were detected, and endovascular treatment was performed. After the patient passed the balloon occlusion test, first the proximal internal carotid artery was closed with coils. Then, the balloon was inflated proximal to the CCA and a 10% diluted glue-lipiodol mixture was injected into the entire diseased CCA bed. Closure of the distal with coil and proximal with balloon prevented the risk of off-target embolization of the glue.
format	article
author	Mehmet Kolu, Asistant Professor İsmail Okan Yıldırım, Associate Professor
author_facet	Mehmet Kolu, Asistant Professor İsmail Okan Yıldırım, Associate Professor
author_sort	Mehmet Kolu, Asistant Professor
title	Treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique
title_short	Treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique
title_full	Treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique
title_fullStr	Treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique
title_full_unstemmed	Treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique
title_sort	treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/dc439ca7db0d4cc8aeed3d70e295df67
work_keys_str_mv	AT mehmetkoluasistantprofessor treatmentofapatientwithcarotidblowoutsyndromewithanewdeconstructiveembolizationtechnique AT ismailokanyıldırımassociateprofessor treatmentofapatientwithcarotidblowoutsyndromewithanewdeconstructiveembolizationtechnique
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Treatment of a patient with carotid blowout syndrome with a new deconstructive embolization technique

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