PT - JOURNAL ARTICLE AU - Chang, F.-C. AU - Lirng, J.-F. AU - Tai, S.-K. AU - Luo, C.-B. AU - Teng, M.M.H. AU - Chang, C.-Y. TI - Brain Abscess Formation: A Delayed Complication of Carotid Blowout Syndrome Treated by Self-Expandable Stent-Graft DP - 2006 Aug 01 TA - American Journal of Neuroradiology PG - 1543--1545 VI - 27 IP - 7 4099 - http://www.ajnr.org/content/27/7/1543.short 4100 - http://www.ajnr.org/content/27/7/1543.full SO - Am. J. Neuroradiol.2006 Aug 01; 27 AB - SUMMARY: A patient with hypopharyngeal cancer developed carotid blowout syndrome (CBS) treated by self-expandable stent-graft in the left carotid artery. CT scan for progressive right hemiparesis 4 months later showed multiple left cerebral abscesses and left carotid thrombosis. Although deployment of stent-grafts for CBS can achieve initial hemostasis in patients with head-and-neck cancer, the placement of a stent-graft in a field of necrosis and infection is associated with poor long-term outcome. We recommend the use of prophylactic antibiotics if endovascular foreign materials are placed in a contaminated field.