RT Journal Article
SR Electronic
T1 Brain Abscess Formation: A Delayed Complication of Carotid Blowout Syndrome Treated by Self-Expandable Stent-Graft
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1543
OP 1545
VO 27
IS 7
A1 Chang, F.-C.
A1 Lirng, J.-F.
A1 Tai, S.-K.
A1 Luo, C.-B.
A1 Teng, M.M.H.
A1 Chang, C.-Y.
YR 2006
UL http://www.ajnr.org/content/27/7/1543.abstract
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.