Flow-diverter in radiation-induced skull base carotid blowout syndrome: do not write it off!

Abstract:

:Post-radiotherapy carotid blowout syndrome (CBS) of the skull base is a rare but often catastrophic complication of head and neck malignancies. The existing literature on the treatment of this condition with flow-diverting devices (FDD) is extremely limited and disappointing. We present a case of impending CBS in a patient previously irradiated for nasopharyngeal cancer that was successfully treated with use of multiple FDDs, adjunctive endonasal packing and delayed reinforcement with pedicled naso-septal flap, yielding an excellent outcome at 14-months follow-up. Notwithstanding the discouraging results in literature, our anecdotal experience suggests that endovascular reconstruction using FDD could be an option with long-term viability in post-radiotherapy CBS involving the skull base when reinforced with a vascularised naso-septal flap.

journal_name

Neurosurg Rev

journal_title

Neurosurgical review

authors

Anil G,Zhang J,Ong YK,Hui F

doi

10.1007/s10143-017-0875-3

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

685-688

issue

4

eissn

0344-5607

issn

1437-2320

pii

10.1007/s10143-017-0875-3

journal_volume

40

pub_type

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