Acute common carotid artery blowout despite endovascular treatment of pseudoaneurysm

Adam Khan; Shailesh Male; Tapan Mehta; Emmanuel Okematti; Samir S. Khariwala; Ramachandra Tummala

doi:10.1016/j.xocr.2021.100280

Acute common carotid artery blowout despite endovascular treatment of pseudoaneurysm

Adam Khan, Shailesh Male, Tapan Mehta, Emmanuel Okematti, Samir S. Khariwala, Ramachandra Tummala

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Abstract

Carotid blowouts are a low-incidence complication of head and neck tumors. We present the case of a 56-year-old man with squamous cell carcinoma of the supraglottic larynx causing acute hemoptysis. Pseudoaneurysm was discovered on the left distal carotid artery and subsequently, a stent was placed. Despite treatment, re-hemorrhage occurred distal to the covered stent leading to irreversible brain damage and death. We provide striking images of active extravasation and propose liberal deployment of long stent constructs in treating this pathology. It may be beneficial for the interventionalist to place a stent covering the area affected by the tumor rather than the area of the pseudoaneurysm.

Original language	English (US)
Article number	100280
Journal	Otolaryngology Case Reports
Volume	19
DOIs	https://doi.org/10.1016/j.xocr.2021.100280
State	Published - Jun 2021

Bibliographical note

Funding Information:
The authors have no acknowledgments.

Publisher Copyright:
© 2021

Keywords

CT Angiogram
Common carotid artery blowout
Endovascular stent placement
Pseudoaneurysm

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.xocr.2021.100280

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abstract = "Carotid blowouts are a low-incidence complication of head and neck tumors. We present the case of a 56-year-old man with squamous cell carcinoma of the supraglottic larynx causing acute hemoptysis. Pseudoaneurysm was discovered on the left distal carotid artery and subsequently, a stent was placed. Despite treatment, re-hemorrhage occurred distal to the covered stent leading to irreversible brain damage and death. We provide striking images of active extravasation and propose liberal deployment of long stent constructs in treating this pathology. It may be beneficial for the interventionalist to place a stent covering the area affected by the tumor rather than the area of the pseudoaneurysm.",

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AU - Khan, Adam

AU - Male, Shailesh

AU - Mehta, Tapan

AU - Okematti, Emmanuel

AU - Khariwala, Samir S.

AU - Tummala, Ramachandra

PY - 2021/6

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AB - Carotid blowouts are a low-incidence complication of head and neck tumors. We present the case of a 56-year-old man with squamous cell carcinoma of the supraglottic larynx causing acute hemoptysis. Pseudoaneurysm was discovered on the left distal carotid artery and subsequently, a stent was placed. Despite treatment, re-hemorrhage occurred distal to the covered stent leading to irreversible brain damage and death. We provide striking images of active extravasation and propose liberal deployment of long stent constructs in treating this pathology. It may be beneficial for the interventionalist to place a stent covering the area affected by the tumor rather than the area of the pseudoaneurysm.

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Acute common carotid artery blowout despite endovascular treatment of pseudoaneurysm

Abstract

Bibliographical note

Keywords

UN SDGs

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