Work

Acute common carotid artery blowout despite endovascular treatment of pseudoaneurysm

Year: 2021

Type: article

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.

Source: Otolaryngology Case Reports

DOI: 10.1016/j.xocr.2021.100280

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

Institution: University of Minnesota

Language: English

Topic: Cerebrovascular and Carotid Artery Diseases

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $750