Endovascular therapeutic occlusion following bilateral carotid artery bypass for radiation-induced carotid artery blowout: case report.
A patient with breast cancer received radiation therapy to the upper chest wall. Twenty-two years later, she presented with repeated severe bleeding through a left lower neck ulcer. She was taken to surgery for hemostasis, which was not successful because the carotid artery was surgically inaccessible. To manage for explosive carotid blowout, we performed common carotid artery ligation and endovascular coil embolization after contralateral-external-carotid to ipsilateral-common-carotid artery bypass with a polytetrafluoroethylene (PTFE) graft. The patient has experienced no ischemic events or bleeding since this treatment.
Toyoda
T
T
Department of Neurosurgery, Suwa Central Hospital, Chino, Nagano, Japan.
Sawatari
K
K
Yamada
T
T
Kaneko
H
H
Yamashita
T
T
Taniuchi
N
N
D000368:Aged; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D001943:Breast Neoplasms / Q000532:radiotherapy; D002340:Carotid Artery Diseases / Q000601:surgery / Q000628:therapy*; D017536:Carotid Artery, Common / Q000601:surgery; D002342:Carotid Artery, External / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000601:surgery / Q000628:therapy; D006801:Humans; D011138:Polytetrafluoroethylene; D011832:Radiation Injuries / Q000601:surgery / Q000628:therapy*; D011882:Radiotherapy, High-Energy; D012422:Rupture, Spontaneous; D012769:Shock / Q000628:therapy
D011138:Polytetrafluoroethylene