Extracranial-intracranial Bypass for Reconstruction of Internal Carotid Artery in the Management of Head and Neck Cancer

2003 ◽  
Vol 17 (3) ◽  
pp. 260-265 ◽  
Author(s):  
Hideaki Chazono ◽  
Yoshitaka Okamoto ◽  
Zensei Matsuzaki ◽  
Jun Ogino ◽  
Shuichiro Endo ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Internal Carotid

Unknown internal carotid artery atherosclerotic stenoses detected with biphasic multidetector computed tomography for head and neck cancer

2005 ◽  
Vol 16 (4) ◽  
pp. 866-871 ◽  
Author(s):  
Nicola Flor ◽  
Francesco Sardanelli ◽  
Simone Soldi ◽  
Giuseppe Franceschelli ◽  
Caterina Missiroli ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Head And Neck ◽  
Multidetector Computed Tomography ◽  
Neck Cancer ◽  
Internal Carotid

Carotid Stenting and “Extarterectomy” in the Management of Head and Neck Cancer Involving the Internal Carotid Artery: Technical Case Report

Neurosurgery ◽  
2000 ◽  
Vol 47 (4) ◽  
pp. 981-984 ◽  
Author(s):  
Eric S. Nussbaum ◽  
Samuel C. Levine ◽  
David Hamlar ◽  
Michael T. Madison
Keyword(s):  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Internal Carotid ◽  
Tumor Resection ◽  
Collateral Flow ◽  
Flow Through ◽  
Aggressive Tumor

Abstract OBJECTIVE AND IMPORTANCE Head and neck cancer that invades the internal carotid artery (ICA) represents a significant management challenge. We describe a novel technique that allows for aggressive tumor removal without disrupting blood flow through the affected ICA. CLINICAL PRESENTATION A 62-year-old man was referred to our institution for management of a neck malignancy involving the ICA. Cerebral angiography suggested that there was good collateral flow from the opposite hemisphere, but the patient reported visual loss in the ipsilateral eye during balloon test occlusion of the ICA. INTERVENTION A self-expanding stent was deployed in the ICA; it spanned the entire length of the artery involved by tumor. One month later, the patient underwent tumor resection. During surgery, a long ICA arteriotomy was performed directly down to the mesh of the stent. A neoendothelium had formed within the stent, which prevented arterial bleeding. The carotid wall was dissected from the stent without difficulty and removed en bloc with the surrounding tumor. The exposed stent was wrapped circumferentially with a synthetic patch material. The patient tolerated the procedure well, and postoperative angiography demonstrated normal filling of the ICA. CONCLUSION We describe a novel approach to a patient with head and neck cancer involving the cervical ICA. Preliminary stenting, which allows time for endothelialization before surgery, may permit aggressive tumor resection without interrupting flow through the ICA. This technique obviates the need for complicated carotid reconstruction procedures and avoids the risk of delayed ischemia from carotid sacrifice.

scholarly journals Transcarotid Mechanical Thrombectomy for Embolic Intracranial Large Vessel Occlusion after Endovascular Deconstructice Embolization for Carotid Blowout Syndrome

2020 ◽  
Vol 15 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Chi-Ju Lu ◽  
Yen-Heng Lin ◽  
Chung-Wei Lee
Keyword(s):  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Internal Carotid ◽  
Large Vessel ◽  
Large Vessel Occlusion ◽  
Vessel Occlusion ◽  
Carotid Blowout Syndrome

Carotid blowout syndrome (CBS) is a fatal complication of head and neck cancer. Endovascular treatment, particularly deconstructive embolization, is effective for CBS, but it might result in thromboembolic events. We report the case of a 57-year-old man with underlying recurrent head and neck cancer who had CBS. The patient received endovascular embolization of the right internal, external, and common carotid arteries. Right internal carotid artery to middle cerebral artery embolic occlusion was noted immediately after the procedure, and left-sided weakness and facial palsy were found. Ipsilateral suprabulbar cervical internal carotid artery puncture was performed under fluoroscopic guidance, and rescue suction thrombectomy was successful. The patient had no significant neurological sequela. Transcarotid intraarterial thrombectomy is a reasonable method for managing postembolization large vessel occlusion, even in the neck, after irradiation.

Endovascular Management of Impending Carotid Rupture in a Patient with Advanced Head and Neck Cancer

2003 ◽  
Vol 10 (1) ◽  
pp. 54-57 ◽  
Author(s):  
Mark C. Bates ◽  
Fadi M. Shamsham
Keyword(s):  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Head And Neck ◽  
Stent Graft ◽  
Neck Cancer ◽  
Coil Embolization ◽  
Internal Carotid ◽  
External Carotid ◽  
Recurrent Bleeding ◽  
The Common

Purpose: To describe an innovative endovascular technique combining a flexible self-expanding stent-graft to protect the common and internal carotid artery with selective coil embolization of the affected external carotid artery (ECA) branches. Case Report: A 42-year-old man presented with episodes of profuse but self-limited carotid hemorrhage from advanced squamous cell carcinoma of the neck. Despite invasion of the carotid sheath by the tumor, angiography confirmed the source of bleeding to be invasion of branches of the ECA. Successful coil embolization of the ECA and stent-graft isolation of the common/internal carotid arteries were performed. At 1-month follow-up, carotid angiography confirmed the complete occlusion of the ECA and patent stent-graft. There was no recurrent bleeding or neurological deficits at 6 months after the procedure. Conclusions: Stent-grafts in combination with coil embolization can be used to manage patients with impending carotid rupture secondary to head and neck cancer.

scholarly journals Long-Term Results of Carotid Artery Stenting in Veterans With Prior Head and Neck Cancer

2017 ◽  
Vol 66 (4) ◽  
pp. e91-e92
Author(s):  
Roy W. Jones ◽  
Adam Tanious ◽  
Paul Armstrong ◽  
Neil Moudgill ◽  
Karl A. Illig ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Carotid Artery Stenting ◽  
Long Term Results

scholarly journals Rupture of carotid artery pseudoaneurysm in the modern era of definitive chemoradiation for head and neck cancer: Two case reports

2020 ◽  
Vol 8 (20) ◽  
pp. 4858-4865
Author(s):  
Myungsoo Kim ◽  
Ji Hyung Hong ◽  
Sang Kyu Park ◽  
Sook Jung Kim ◽  
Jung Hwi Lee ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Case Reports ◽  
Artery Pseudoaneurysm ◽  
Definitive Chemoradiation ◽  
Modern Era

Single Center Outcomes of Carotid Artery Stenting in Veterans with Prior Head and Neck Cancer

2021 ◽  
Vol 70 ◽  
pp. 230-236
Author(s):  
Roy W. Jones ◽  
Mark Conant ◽  
Adam Tanious ◽  
Paul Armstrong ◽  
Neil Moudgill ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Carotid Artery Stenting ◽  
Single Center

scholarly journals Positron Emission Tomographic Evaluation of Patients with Head and Neck Cancer Undergoing Occlusion and Removal of the Carotid Artery

Skull Base ◽  
1992 ◽  
Vol 2 (04) ◽  
pp. 186-190 ◽  
Author(s):  
Dennis Lee ◽  
Natan Scher ◽  
Saeid Mojtahedi ◽  
Malcolm Cooper ◽  
William R. Panje
Keyword(s):  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Positron Emission Tomographic ◽  
Positron Emission

Carotid Artery Resection for Head and Neck Cancer

1992 ◽  
Vol 101 (9) ◽  
pp. 778-781 ◽  
Author(s):  
Michael D. Maves ◽  
Matthew D. Bruns ◽  
Michael J. Keenan
Keyword(s):  
Head And Neck Cancer ◽  
Carotid Artery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Death Rate ◽  
Neck Surgery ◽  
Palliative Surgery ◽  
University Of Iowa ◽  
Artery Ligation ◽  
Artery Resection

Occasionally, the head and neck surgeon encounters a patient whose malignancy involves the carotid artery. In these patients, curative or palliative surgery may require excision of the common or the internal carotid artery. However, the high complication and death rates dissuade many surgeons from undertaking carotid artery resection. This study reviews the outcomes in 20 patients treated between 1979 and 1985 at the Department of Otolaryngology-Head and Neck Surgery, The University of Iowa Hospitals and Clinics, with resection of the carotid artery for head and neck cancer. The carotid artery was electively resected in 16 patients, while 4 patients underwent emergent carotid artery ligation. In the group of patients studied the stroke rate was 25%, the death rate 20%, and the combined stroke and death rate 30%. Of the patients who survived the procedure, all but 1 died of complications caused by tumor recurrence. These results are discussed, and compared with results from other studies.

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