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Article: Endovascular treatment paradigm of carotid blowout syndrome: Review of 8-years experience

TitleEndovascular treatment paradigm of carotid blowout syndrome: Review of 8-years experience
Authors
KeywordsBalloon test occlusion
CBS (carotid blowout syndrome)
Issue Date2013
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/ejrad
Citation
European Journal Of Radiology, 2013, v. 82 n. 1, p. 95-99 How to Cite?
AbstractObjectives: Endovascular treatment is effective in treating carotid blowout syndrome (CBS). We reviewed our experience in addressing CBS over eight years and presented an account of the treatment paradigm and management algorithm. Method: All cases of CBS from 2003 to 2010 with endovascular treatment performed in our center were reviewed. 15 CBS in 14 patients were recruited. Based on our management algorithm, treatment regimen was stratified into deconstructive or constructive methods. Their clinical presentations, angiographic features, angiographic and clinical outcomes were reviewed. Results: 10 patients were treated with deconstructive method by means of permanent vessel occlusion (PVO) and 4 patients were treated with constructive method by means of placement of covered stent (n = 3) or flow diverting device (n = 1). Immediate hemostasis was achieved in all cases. 7 (50%) patients, in whom 5 treated with PVO and 2 with covered stent, had favorable outcomes and survived at a median follow-up period of 4 months (range: 1-84 months). Conclusion: Permanent vessel occlusion remains the gold standard of treatment and tends to show a favorable long-term outcome. Off-label use of covered stent and flow-diverting device can produce satisfactory results should balloon occlusion test fail, but long-term follow up would be required for definitive assessment. © 2011 Elsevier Ireland Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/144529
ISSN
2015 Impact Factor: 2.593
2015 SCImago Journal Rankings: 1.166
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWan, WSen_HK
dc.contributor.authorLai, Ven_HK
dc.contributor.authorLau, HYen_HK
dc.contributor.authorWong, YCen_HK
dc.contributor.authorPoon, WLen_HK
dc.contributor.authorTan, CBen_HK
dc.date.accessioned2012-02-03T06:12:35Z-
dc.date.available2012-02-03T06:12:35Z-
dc.date.issued2013en_HK
dc.identifier.citationEuropean Journal Of Radiology, 2013, v. 82 n. 1, p. 95-99en_HK
dc.identifier.issn0720-048Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/144529-
dc.description.abstractObjectives: Endovascular treatment is effective in treating carotid blowout syndrome (CBS). We reviewed our experience in addressing CBS over eight years and presented an account of the treatment paradigm and management algorithm. Method: All cases of CBS from 2003 to 2010 with endovascular treatment performed in our center were reviewed. 15 CBS in 14 patients were recruited. Based on our management algorithm, treatment regimen was stratified into deconstructive or constructive methods. Their clinical presentations, angiographic features, angiographic and clinical outcomes were reviewed. Results: 10 patients were treated with deconstructive method by means of permanent vessel occlusion (PVO) and 4 patients were treated with constructive method by means of placement of covered stent (n = 3) or flow diverting device (n = 1). Immediate hemostasis was achieved in all cases. 7 (50%) patients, in whom 5 treated with PVO and 2 with covered stent, had favorable outcomes and survived at a median follow-up period of 4 months (range: 1-84 months). Conclusion: Permanent vessel occlusion remains the gold standard of treatment and tends to show a favorable long-term outcome. Off-label use of covered stent and flow-diverting device can produce satisfactory results should balloon occlusion test fail, but long-term follow up would be required for definitive assessment. © 2011 Elsevier Ireland Ltd. All rights reserved.en_HK
dc.languageengen_US
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/ejraden_HK
dc.relation.ispartofEuropean Journal of Radiologyen_HK
dc.subjectBalloon test occlusionen_HK
dc.subjectCBS (carotid blowout syndrome)en_HK
dc.titleEndovascular treatment paradigm of carotid blowout syndrome: Review of 8-years experienceen_HK
dc.typeArticleen_HK
dc.identifier.emailLai, V:laiv@hku.hken_HK
dc.identifier.emailLau, HY:hylau1@hku.hken_HK
dc.identifier.authorityLai, V=rp01516en_HK
dc.identifier.authorityLau, HY=rp01627en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ejrad.2011.01.061en_HK
dc.identifier.pmid21310571-
dc.identifier.scopuseid_2-s2.0-84871721085en_HK
dc.identifier.hkuros198334en_US
dc.identifier.volumearticle in pressen_US
dc.identifier.isiWOS:000313093100021-
dc.publisher.placeIrelanden_HK
dc.identifier.scopusauthoridWan, WS=36931892300en_HK
dc.identifier.scopusauthoridLai, V=15829844300en_HK
dc.identifier.scopusauthoridLau, HY=24553923900en_HK
dc.identifier.scopusauthoridWong, YC=7403040273en_HK
dc.identifier.scopusauthoridPoon, WL=7103025388en_HK
dc.identifier.scopusauthoridTan, CB=7402818142en_HK
dc.identifier.citeulike8802429-

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