Research progress on the pathogenesis and treatment of carotid blowout syndrome

doi:10.3877/cma.j.issn.1673-9450.2023.05.012

Abstract

Abstract:

Carotid blowout syndrome refers to the fatal complications of vascular wall necrosis, rupture and massive hemorrhage caused by tumor direct invasion and infection after head and neck tumor surgery, recurrence or re-release. The mortality rate is 40% and the neurological complications rate can be as high as 60%. In this article, the pathogenesis and treatment progress of carotid blowout syndrome were reviewed based on relevant literature, the current treatment modalities and prognosis evaluation of CBS were summarized, and the individual treatment of CBS was further discussed.

Key words: Carotid blowout syndrome, Head and neck neoplasms, Radiotherapy, Infection

Jianlong Liu, Zixuan Zhang, Shengjie Xu, Yunxin Zhang. Research progress on the pathogenesis and treatment of carotid blowout syndrome[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(05): 434-437.

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URL: https://zhssyxfzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1673-9450.2023.05.012

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References 36

[1]	Moest T, Kesting MR, Rohde M, et al. A treatment approach for carotid blowout syndrome and soft tissue reconstruction after radiotherapy in patients with oral cancer: a report of 2 cases[J]. J Clin Med, 2023, 12(9): 3221.
[2]	Lu HJ, Chen KW, Chen MH, et al. Predisposing factors, management, and prognostic evaluation of acute carotid blowout syndrome[J]. J Vasc Surg, 2013, 58(5): 1226-1235.
[3]	Lesley WS, Chaloupka JC, Weigele JB, et al. Preliminary experience with endovascular reconstruction for the management of carotid blowout syndrome[J]. AJNR Am J Neuroradiol, 2003, 24(5): 975-981.
[4]	Chaloupka JC, Putman CM, Citardi MJ, et al. Endovascular therapy for the carotid blowout syndrome in head and neck surgical patients: diagnostic and managerial considerations[J]. AJNR Am J Neuroradiol, 1996, 17(5): 843-852.
[5]	Liang NL, Guedes BD, Duvvuri U, et al. Outcomes of interventions for carotid blowout syndrome in patients with head and neck cancer[J]. J Vasc Surg, 2016, 63(6): 1525-1530.
[6]	Powitzky R, Vasan N, Krempl G, et al. Carotid blowout in patients with head and neck cancer[J]. Ann Otol Rhinol Laryngol, 2010, 119(7): 476-484.
[7]	Zhao Z, Liao Q, Yang Y, et al. Survival analysis of a comprehensive treatment strategy for internal carotid artery blowout syndrome by nasopharyngeal carcinoma[J]. Head Neck, 2023, 45(8): 1875-1884.
[8]	Herranz J, Sarandeses A, Fernandez MF, et al. Complications after total laryngectomy in nonradiated laryngeal and hypopharyngeal carcinomas[J]. Otolaryngol Head Neck Surg, 2000, 122(6): 892-898.
[9]	Macdonald S, Gan J, McKay AJ, et al. Endovascular treatment of acute carotid blow-out syndrome[J]. J Vasc Interv Radiol, 2000, 11(9): 1184-1188.
[10]	Chen YJ, Wang CP, Wang CC, et al. Carotid blowout in patients with head and neck cancer: associated factors and treatment outcomes[J]. Head Neck, 2015, 37(2): 265-272.
[11]	Citardi MJ, Chaloupka JC, Son YH, et al. Management of carotid artery rupture by monitored endovascular therapeutic occlusion (1988-1994)[J]. Laryngoscope, 1995, 105(10): 1086-1092.
[12]	Li W, Wang T, Zhang X, et al. Distinct lipid profiles of radiation-induced carotid plaques from atherosclerotic carotid plaques revealed by UPLC-QTOF-MS and DESI-MSI[J]. Radiother Oncol, 2022, 167: 25-33.
[13]	Cheng YW, Chen CH, Yeh SJ, et al. Association between modifiable vascular risk factors and rapid progression of postradiation carotid artery stenosis[J]. J Chin Med Assoc, 2023, 86(7): 627-632.
[14]	van Aken E, van der Laan HP, Bijl HP, et al. Risk of ischaemic cerebrovascular events in head and neck cancer patients is associated with carotid artery radiation dose[J]. Radiother Oncol, 2021, 157: 182-187.
[15]	Wong D, Donaldson C, Lai LT, et al. Safety and effectiveness of endovascular embolization or stent-graft reconstruction for treatment of acute carotid blowout syndrome in patients with head and neck cancer: case series and systematic review of observational studies[J]. Head Neck, 2018, 40(4): 846-854.
[16]	Cordova A, D′Arpa S, Di Lorenzo S, et al. Prophylactic chimera anterolateral thigh/vastus lateralis flap: preventing complications in high-risk head and neck reconstruction[J]. J Oral Maxillofac Surg, 2014, 72(5): 1013-1022.
[17]	Farivar BS, Lee DH, Khalil A, et al. Carotid blowout syndrome: endovascular management of acute hemorrhage with tapering overlapped covered stents[J]. Ann Vasc Surg, 2014, 28(8): 1934-1937.
[18]	To YP, Lok CS, On TC, et al. Comparison of treatment modalities in postirradiation carotid blowout syndrome: a multicenter retrospective review[J]. World Neurosurg, 2021, 152: e666-e672.
[19]	Luo CB, Tsuei YS, Chang FC, et al. Verification of bleeding points in carotid blowout syndrome using guidewire manipulation[J]. Neuroradiology, 2018, 60(8): 835-841.
[20]	Chang FC, Lirng JF, Luo CB, et al. Patients with head and neck cancers and associated postirradiated carotid blowout syndrome: endovascular therapeutic methods and outcomes[J]. J Vasc Surg, 2008, 47(5): 936-945.
[21]	Suarez C, Fernandez-Alvarez V, Hamoir M, et al. Carotid blowout syndrome: modern trends in management[J]. Cancer Manag Res, 2018, 10: 5617-5628.
[22]	Silverman DA, Parikh AS, Liu K, et al. Predictors of survival following carotid blowout syndrome[J]. Oral Oncol, 2022, 125: 105723.
[23]	Cohen J, Rad I. Contemporary management of carotid blowout[J]. Curr Opin Otolaryngol Head Neck Surg, 2004, 12(2): 110-115.
[24]	Watson WL, Silverstone SM. Ligature of the common carotid artery in cancer of the head and neck[J]. Ann Surg, 1939, 109(1): 1-27.
[25]	Hoya K, Tanaka Y, Uchida T, et al. Treatment of ruptured internal carotid artery trunk aneurysms: feasibility of endovascular trapping or proximal obliteration of the ICA[J]. Clin Neurol Neurosurg, 2011, 113(4): 285-288.
[26]	Alterio D, Turturici I, Volpe S, et al. Carotid blowout syndrome after reirradiation for head and neck malignancies: a comprehensive systematic review for a pragmatic multidisciplinary approach[J]. Crit Rev Oncol Hematol, 2020, 155: 103088.
[27]	Shankar JJ, Maloney WJ, Vandorpe R. Amplatzer vascular plug for occlusion of parent artery in carotid blowout with active extravasation[J]. Interv Neuroradiol, 2011, 17(2): 224-227.
[28]	Patsalides A, Fraser JF, Smith MJ, et al. Endovascular treatment of carotid blowout syndrome: who and how to treat[J]. J Neurointerv Surg, 2010, 2(1): 87-93.
[29]	Bond KM, Brinjikji W, Murad MH, et al. Endovascular treatment of carotid blowout syndrome[J]. J Vasc Surg, 2017, 65(3): 883-888.
[30]	Fu Q, Wang X, Wu T, et al. Carotid atherosclerosis biomarkers in cardiovascular diseases prevention: a systematic review and bibliometric analysis[J]. Eur J Radiol, 2020, 129: 109133.
[31]	Kasperts N, Slotman BJ, Leemans CR, et al. Results of postoperative reirradiation for recurrent or second primary head and neck carcinoma[J]. Cancer, 2006, 106(7): 1536-1547.
[32]	Duprez F, Madani I, Bonte K, et al. Intensity-modulated radiotherapy for recurrent and second primary head and neck cancer in previously irradiated territory[J]. Radiother Oncol, 2009, 93(3): 563-569.
[33]	Upile T, Triaridis S, Kirkland P, et al. The management of carotid artery rupture[J]. Eur Arch Otorhinolaryngol, 2005, 262(7): 555-560.
[34]	Brinjikji W, Cloft HJ. Outcomes of endovascular occlusion and stenting in the treatment of carotid blowout[J]. Interv Neuroradiol, 2015, 21(4): 543-547.
[35]	Moore OS, Karlan M, Sigler L. Factors influencing the safety of carotid ligation[J]. Am J Surg, 1969, 118(5): 666-668.
[36]	Haas RA, Ahn SH. Interventional management of head and neck emergencies: carotid blowout[J]. Semin Intervent Radiol, 2013, 30(3): 245-248.

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