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Carotid artery rupture in patients with squamous cell carcinoma of the head and neck is one of the most devastating complications associated with head and neck surgery. The reported incidence of carotid rupture in patients who have had a neck dissection or radiation therapy is 3-4%. Because of the 40% mortality associated with this complication, many researchers have written about the methods of management regarding this problem. Carotid rupture tends to occur in patients with associated conditions such as pharyngocutaneous fistula, recurrent tumor, or radiation necrosis. Management of carotid artery rupture includes surgical ligation and endovascular treatment of ruptured artery. Many authors reported that results of endovascular therapy is better than one of exploration of the neck and ligation. We reported a case of endovascular therapy using coils, stents, and graft-stent for ruptured carotid artery in patients with recurrent hypopharyngeal cancer.
Carotid artery rupture in patients with squamous cell carcinoma of the head and neck is one of the most devastating complications associated with head and neck surgery. The reported incidence of carotid rupture in patients who have had a neck dissection or radiation therapy is 3-4%. Because of the 40% mortality associated with this complication, many researchers have written about the methods of management regarding this problem. Carotid rupture tends to occur in patients with associated conditions such as pharyngocutaneous fistula, recurrent tumor, or radiation necrosis. Management of carotid artery rupture includes surgical ligation and endovascular treatment of ruptured artery. Many authors reported that results of endovascular therapy is better than one of exploration of the neck and ligation. We reported a case of endovascular therapy using coils, stents, and graft-stent for ruptured carotid artery in patients with recurrent hypopharyngeal cancer.
