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- Distal Marginal Stenosis: A Contributing Factor in Delayed Carotid Occlusion of a Patient With Carotid Blowout Syndrome Treated With Stent Grafts
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題名 | Distal Marginal Stenosis: A Contributing Factor in Delayed Carotid Occlusion of a Patient With Carotid Blowout Syndrome Treated With Stent Grafts=支架遠端邊緣狹窄是造成頸動脈爆裂症候群病患接受覆膜支架置放治療後發生延遲性頸動脈阻塞的一個因素 |
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作者 | 張豐基; 羅兆寶; 凌憬峰; 郭萬祐; 鄧木火; 吳秀美; 張政彥; Chang, Feng-chi; Luo, Chao-bao; Lirng, Jiing-feng; Guo, Wan-yuo; Teng, Michael Mu-huo; Wu, Hsiu-mei; Chang, Cheng-yen; |
期刊 | Journal of the Chinese Medical Association |
出版日期 | 20100500 |
卷期 | 73:5 2010.05[民99.05] |
頁次 | 頁271-274+CA49 |
語文 | eng |
關鍵詞 | 頸動脈爆裂症候群; 支架遠端邊緣狹窄; 覆膜式支架; Carotid blowout syndrome; Distal marginal stenosis; Stent graft; |
英文摘要 | Distal marginal stenosis is rarely reported to be a factor associated with poor long-term patency of patients of head and neck cancers with carotid blowout syndrome treated with stent grafts. We report a case of laryngeal cancer with rupture of the right common carotid artery. A self-expandable stent graft was deployed, but bleeding recurred. Another stent graft was deployed for the pseudoaneurysm located distal to the first stent graft. Rebleeding occurred because of pseudoaneurysm formation from reconstituted branches of the right superior thyroid artery. We performed direct percutaneous puncture of the proximal superior thyroid artery for successful embolization. Distal marginal stenosis and asymptomatic thrombosis of the carotid artery were noted at 3.5- and 5-month follow-ups, respectively. We suggest aggressive early follow-up and reintervention for distal marginal stenosis by combined antibiotic therapy and angioplasty and stenting to improve the long-term patency of stent-graft deployment for management of carotid blowout syndrome. |
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