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Home > Journals > Italian Journal of Maxillofacial Surgery > Past Issues > Rivista Italiana di Chirurgia Maxillo-Facciale 2001 December;12(3) > Rivista Italiana di Chirurgia Maxillo-Facciale 2001 December;12(3):169-75

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CURRENT ISSUEITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

A Journal on Maxillofacial Surgery

Official Journal of the Italian Society of Maxillofacial Surgery

Frequency: 3 issues

ISSN 1120-7558

Online ISSN 1827-1901

 

Rivista Italiana di Chirurgia Maxillo-Facciale 2001 December;12(3):169-75

    CLINICAL CASES

The role of stenting in the endovascular treatment of acute hemorrhagic complications for neoplastic infiltration of the carotid arteries

Castellan L., Causin F., Perini S., Padula E. *

From ­the Institute of Neuroradiology
* Maxillo-Facial Surgery Department, “S. Bortolo” Hospital, Vicenza, Italy

The carot­id rup­ture ­for neo­plas­tic infil­tra­tion is a crit­i­cal com­pli­ca­tion in ­patient ­with ­advanced malig­nant neo­plasm of ­the ­neck. We ­describe dif­fer­ent endo­vas­cu­lar treat­ments ­and a poten­tial ­role of ­the ­stents in ­patients ­with hem­or­rhage ­due to rup­ture of ­the carot­id arter­ies ­for cer­vi­cal can­cer. Three cas­es ­were ­reviewed in ­order to ­study ­the etio­log­ic fac­tors of ­the carot­id hem­or­rhag­es, ­the effi­ca­cy ­and ­the ratio­nale of ­the dif­fer­ent endo­vas­cu­lar pro­ce­dures ­and ­the out­comes. All ­the ­patients ­were pre­vi­ous­ly treat­ed ­for car­ci­no­ma of ­the ­neck. The caus­es of ­the hem­or­rhage ­were neo­plas­tic infil­tra­tion of ­the carot­id bifur­ca­tion, ­postradio­nec­ro­sis pha­ryn­goc­u­ta­ne­ous fis­tu­la ­and post­op­er­a­tive pseu­do-aneu­rysm, respec­tive­ly. After pre­lim­i­nary angio­gra­phy, endo­vas­cu­lar embol­iza­tion ­with occlu­sion of ­the carot­id bifur­ca­tion ­with bal­loons, ­coils ­and par­ti­cles, deliv­ery of cov­ered bal­loon-expand­able ­stent ­and of ­not cov­ered ­self-expand­able ­stents ­were per­formed, respec­tive­ly. All ­the pro­ce­dures ­were effi­cient ­with no com­pli­ca­tions ­and no re-bleed­ings dur­ing a ­mean fol­low-up of 24 ­months. Since ­the sur­gi­cal carot­id recon­struc­tion ­for ­advanced cer­vi­cal can­cer ­has a ­high mor­bid­ity ­rate, ­the endo­vas­cu­lar treat­ment is a ­safe ther­a­peu­tic ­option in ­these ­patients. If ­allowed by ­the ana­tom­i­cal sit­u­a­tion, ­the ­use of cov­ered ­stents ­must be pre­ferred.

language: English


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