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Transarterial Carotid Occlusion: Case Report and Review of the Literature

Transarterial Carotid Occlusion: Case Report and Review of the Literature Abstract • Postoperative carotid artery rupture occurs in 3% to 4.5% of head and neck resections involving a mucosal primary and radical neck dissection. Other indications for carotid sacrifice-ligation include en bloc removal of the artery with tumor, inadvertent injury during surgery, and hemorrhage from vessel erosion by unresectable tumor. The mortality and morbidity of unilateral carotid occlusion are significantly decreased when performed electively in a hydrated and normotensive patient with a normal serum hemoglobin level. Sequelae approximate 5% when adequate collateral cerebral blood flow is present. A transarterial catheter approach to the measurement of carotid artery back pressure and permanent obstruction of flow in an awake patient is presented. (Arch Otolaryngol 1984;110:694-696) References 1. Heller KS, Strong EW: Carotid artery hemorrhage after radical head and neck surgery . Am J Surg 1979;138:607-610.Crossref 2. Nieto CS, Solano JME, Martinez TB, et al: The carotid artery in head and neck oncology . Clin Otolaryngol 1980;5:403-417.Crossref 3. McCoy G, Barsocchini L: Experiences in carotid artery occlusion . Laryngoscope 1968; 78:1195-1210.Crossref 4. Kennedy JT, Krause CJ, Loevy S: The importance of tumor attachment to the carotid artery . Arch Otolaryngol 1977;103:70-73.Crossref 5. Fee WE, Goffinet DR, Parayani S, et al: Intraoperative iodine 125 implants . Arch Otolaryngol 1983;109:727-730.Crossref 6. Martinez SA, Oller DW, Gee W, et al: Elective carotid artery resection . Arch Otolaryngol 1975;101:744-747.Crossref 7. Olcott C, Fee WE, Enzmann DR, et al: Planned approach to the management of malignant invasion of the carotid artery . Am J Surg 1981;142:123-127.Crossref 8. James NJ, Stuteville OH, Tasche C: Elective carotid artery ligation in the treatment of advanced cancer of the head and neck . Plas Reconstr Surg 1971;47:243-245.Crossref 9. Lore JM, Boulos EJ: Resection and reconstruction of the carotid artery in metastatic squamous cell carcinoma . Am J Surg 1981; 142:437-442.Crossref 10. Sobol S, Freeman R, Thawley S, et al: Management of inadvertent injury to the carotid artery during head and neck surgery . Head Neck Surg 1982;4:475-482.Crossref 11. Nieto CS, Solano JME, Martinez GB, et al: Invasion of the carotid artery in tumors of the head and neck . Clin Otolaryngol 1981;6:29-37.Crossref 12. Razack MS, Sako K: Carotid artery hemorrhage and ligation in head and neck cancer . J Surg Onc 1982;19:189-192.Crossref 13. Konno A, Togawa K, Iizuka K: Analysis of factors affecting complications of carotid ligation . Ann Otol Rhinol Laryngol 1981;90:222-226. 14. Shumrick D: Carotid artery rupture . Laryngoscope 1973;83:1051-1060.Crossref 15. Moore OS, Karlan M, Sigler L: Factors influencing the safety of carotid ligation . Am J Surg 1969;118:666-668.Crossref 16. Matas R: Personal experiences in vascular surgery . Ann Surg 1940;112:802-839.Crossref 17. Miller JD, Jawad K, Jennett B: Safety of carotid ligation and its role in the management of intracranial aneurysms . J Neurol Neurosurg Psychiatry 1977;40:64-72.Crossref 18. Fee WE, Steadman MG: Planned carotid artery resection in head and neck cancer . Trans Am Acad Ophthalmol Otolaryngol 1977;84:814-815. 19. Debrun G, Lacour P, Vinuela F, et al: Treatment of 54 traumatic carotid-cavernous fistulas . J Neurosurg 1981;55:678-692.Crossref 20. Hays RJ, Levinson SA, Wylie EJ: Intraoperative measurement of carotid back pressure as a guide to operative management for carotid endarterectomy . Surgery 1972;72:953-960. 21. Earnest F, Forbes G, Sandok BA, et al: Complications of cerebral angiography . AJNR 1983;4:1191-1197. 22. Koopman CF, Coulthard SW, Malone JM, et al: Complications of carotid artery replacement in head and neck neoplasms . Otolaryngol Head Neck Surg 1982;90:561-566. 23. Serbinenko FA: Six hundred endovascular neurosurgical procedures in vascular pathology: A ten-year experience . Acta Neurochir 1979; 28( (suppl 1) ):310-311. 24. Kendall B: Results of treatment of arteriovenous fistulae with the Debrun technique . AJNR 1983;4:405-408. 25. Chuang VP, Wallace S, Gianturco C, et al: Complications of coil embolization . AJR 1981; 137:809-813.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Transarterial Carotid Occlusion: Case Report and Review of the Literature

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References (27)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1984.00800360066017
Publisher site
See Article on Publisher Site

Abstract

Abstract • Postoperative carotid artery rupture occurs in 3% to 4.5% of head and neck resections involving a mucosal primary and radical neck dissection. Other indications for carotid sacrifice-ligation include en bloc removal of the artery with tumor, inadvertent injury during surgery, and hemorrhage from vessel erosion by unresectable tumor. The mortality and morbidity of unilateral carotid occlusion are significantly decreased when performed electively in a hydrated and normotensive patient with a normal serum hemoglobin level. Sequelae approximate 5% when adequate collateral cerebral blood flow is present. A transarterial catheter approach to the measurement of carotid artery back pressure and permanent obstruction of flow in an awake patient is presented. (Arch Otolaryngol 1984;110:694-696) References 1. Heller KS, Strong EW: Carotid artery hemorrhage after radical head and neck surgery . Am J Surg 1979;138:607-610.Crossref 2. Nieto CS, Solano JME, Martinez TB, et al: The carotid artery in head and neck oncology . Clin Otolaryngol 1980;5:403-417.Crossref 3. McCoy G, Barsocchini L: Experiences in carotid artery occlusion . Laryngoscope 1968; 78:1195-1210.Crossref 4. Kennedy JT, Krause CJ, Loevy S: The importance of tumor attachment to the carotid artery . Arch Otolaryngol 1977;103:70-73.Crossref 5. Fee WE, Goffinet DR, Parayani S, et al: Intraoperative iodine 125 implants . Arch Otolaryngol 1983;109:727-730.Crossref 6. Martinez SA, Oller DW, Gee W, et al: Elective carotid artery resection . Arch Otolaryngol 1975;101:744-747.Crossref 7. Olcott C, Fee WE, Enzmann DR, et al: Planned approach to the management of malignant invasion of the carotid artery . Am J Surg 1981;142:123-127.Crossref 8. James NJ, Stuteville OH, Tasche C: Elective carotid artery ligation in the treatment of advanced cancer of the head and neck . Plas Reconstr Surg 1971;47:243-245.Crossref 9. Lore JM, Boulos EJ: Resection and reconstruction of the carotid artery in metastatic squamous cell carcinoma . Am J Surg 1981; 142:437-442.Crossref 10. Sobol S, Freeman R, Thawley S, et al: Management of inadvertent injury to the carotid artery during head and neck surgery . Head Neck Surg 1982;4:475-482.Crossref 11. Nieto CS, Solano JME, Martinez GB, et al: Invasion of the carotid artery in tumors of the head and neck . Clin Otolaryngol 1981;6:29-37.Crossref 12. Razack MS, Sako K: Carotid artery hemorrhage and ligation in head and neck cancer . J Surg Onc 1982;19:189-192.Crossref 13. Konno A, Togawa K, Iizuka K: Analysis of factors affecting complications of carotid ligation . Ann Otol Rhinol Laryngol 1981;90:222-226. 14. Shumrick D: Carotid artery rupture . Laryngoscope 1973;83:1051-1060.Crossref 15. Moore OS, Karlan M, Sigler L: Factors influencing the safety of carotid ligation . Am J Surg 1969;118:666-668.Crossref 16. Matas R: Personal experiences in vascular surgery . Ann Surg 1940;112:802-839.Crossref 17. Miller JD, Jawad K, Jennett B: Safety of carotid ligation and its role in the management of intracranial aneurysms . J Neurol Neurosurg Psychiatry 1977;40:64-72.Crossref 18. Fee WE, Steadman MG: Planned carotid artery resection in head and neck cancer . Trans Am Acad Ophthalmol Otolaryngol 1977;84:814-815. 19. Debrun G, Lacour P, Vinuela F, et al: Treatment of 54 traumatic carotid-cavernous fistulas . J Neurosurg 1981;55:678-692.Crossref 20. Hays RJ, Levinson SA, Wylie EJ: Intraoperative measurement of carotid back pressure as a guide to operative management for carotid endarterectomy . Surgery 1972;72:953-960. 21. Earnest F, Forbes G, Sandok BA, et al: Complications of cerebral angiography . AJNR 1983;4:1191-1197. 22. Koopman CF, Coulthard SW, Malone JM, et al: Complications of carotid artery replacement in head and neck neoplasms . Otolaryngol Head Neck Surg 1982;90:561-566. 23. Serbinenko FA: Six hundred endovascular neurosurgical procedures in vascular pathology: A ten-year experience . Acta Neurochir 1979; 28( (suppl 1) ):310-311. 24. Kendall B: Results of treatment of arteriovenous fistulae with the Debrun technique . AJNR 1983;4:405-408. 25. Chuang VP, Wallace S, Gianturco C, et al: Complications of coil embolization . AJR 1981; 137:809-813.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Oct 1, 1984

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