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Life-threatening common carotid artery blowout: rescue treatment with a newly designed self-expanding covered nitinol stent.

Authors
Kim, HS; Lee, DH; Kim, HJ; Kim, SJ; Kim, W; Kim, SY; Suh, DC
Citation
The British journal of radiology, 79(939):226-231, 2006
Journal Title
The British journal of radiology
ISSN
0007-12851748-880X
Abstract
Carotid blowout is a devastating complication in patients with head and neck malignancy. A covered stent offers an alternative to treatment of a carotid blowout patient thought to be at high risk for surgery or carotid occlusion. Stent placement in the common carotid artery or carotid bulb is a technical challenge because of large luminal diameter and luminal calibre discrepancy between internal carotid artery and common carotid artery. We present four patients with common carotid rupture and massive bleeding who were treated with self-expanding covered stents, among them, two cases were treated with newly designed self-expanding polytetrafluoroethylene (PTFE)-covered nitinol stents.
MeSH terms
AgedAlloysBlood Vessel ProsthesisCarotid Artery, Common*Carotid-Cavernous Sinus Fistula/radiographyCarotid-Cavernous Sinus Fistula/therapy*Critical IllnessEquipment DesignFatal OutcomeHead and Neck Neoplasms/complicationsHead and Neck Neoplasms/radiotherapyHemorrhage/etiologyHemorrhage/prevention & control*HumansMaleMiddle AgedPolytetrafluoroethyleneRupture, Spontaneous/etiologyRupture, Spontaneous/radiographyStents*
DOI
10.1259/bjr/66917189
PMID
16498035
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
AJOU Authors
김, 호성
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