A Case of Management of Carotid Artery Rupture by Detachable Balloon Embolization / 대한이비인후과학회지

ABSTRACT

Carotid artery rupture ranks as the most dreaded among the head and neck surgery complications. Despite the well-documented risk of cerebral ischemia, operative carotid ligation has been the traditional management of last resort for carotid artery rupture. Over the past several years, however, the technique of endovascular occlusion of blood vessels has demonstated considerable promise in the management of carotid artery rupture. With the help of endovascular balloon occlusion, the authors managed a case of carotid artery rupture developed after the radiation therapy of laryngeal carcinoma and the salvage laryngectomy with neck dissection. Embolization on the right carotid artery was performed with detachable balloons and spiral coils after the carotid artery occlusion test. The patient did not show any complications of neurological function. The pharyngocutaneous fistula and skin defects were reconstructed with the use of pectoralis muscuocutaneous flap.