Radiation acute carotid blowout syndromes of the ascending pharyngeal and internal carotid arteries in nasopharyngeal carcinoma.
Acute carotid blowout syndrome (CBS) was defined as free rupture of the carotid artery associating with catastrophic hemorrhage. Most radiation acute CBSs in nasopharyngeal carcinoma (NPC) are found in petrous segment of the internal carotid artery (ICA) because of high-dose radiation in this area associated with nearby osteonecrosis. The occurrence of acute CBSs in the small branch of the external carotid artery and cervical ICA following radiotherapy in NPC patient is very rare. We present a rare case of NPC with radiation acute CBSs in the ascending pharyngeal and cervical ICA in a 3-month interval that were successfully managed by endovascular embolization.
Department of Radiology, Taipei Veterans General Hospital and School of Medicine, National Yang Ming University, 201, Sec 2, Shih-Pai Road, Beitou, 112, Taipei, Taiwan, ROC. cbluo@vghtpe.gov.tw
Chao-Bao
CB
Luo
Michael Mu-Huo
MM
Teng
Feng-Chi
FC
Chang
D000328:Adult; D021721:Balloon Occlusion; D020212:Carotid Artery Injuries / Q000209:etiology* / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000528:radiation effects*; D017024:Chemotherapy, Adjuvant; D006801:Humans; D008297:Male; D009303:Nasopharyngeal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy*; D011878:Radiotherapy / Q000009:adverse effects* / Q000379:methods; D012421:Rupture; D013577:Syndrome