Carotid blowout syndrome as a late complication of carotid stenting in irradiated neck: covered stent treatment using the “No-Touch” technique
Carotid blowout syndrome (CBS) is a potentially fatal condition requiring prompt diagnosis and intervention. CBS primarily affects patients with a history of surgery or irradiation for head and neck malignancies. In this report, we describe a case of CBS in which the carotid artery ruptured 2 months...
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| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-08-01
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| Series: | Therapeutic Advances in Cardiovascular Disease |
| Online Access: | https://doi.org/10.1177/17539447251366781 |
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| author | Yohei Takenobu Noriko Nomura Yoshito Sugita Akihiro Okada Takeshi Kawauchi Yukinori Terada Mizuha Toyama Akihiro Furuta Hiroomi Nishio Atsushi Iwakura Manabu Inoue Kenji Hashimoto |
| author_facet | Yohei Takenobu Noriko Nomura Yoshito Sugita Akihiro Okada Takeshi Kawauchi Yukinori Terada Mizuha Toyama Akihiro Furuta Hiroomi Nishio Atsushi Iwakura Manabu Inoue Kenji Hashimoto |
| author_sort | Yohei Takenobu |
| collection | DOAJ |
| description | Carotid blowout syndrome (CBS) is a potentially fatal condition requiring prompt diagnosis and intervention. CBS primarily affects patients with a history of surgery or irradiation for head and neck malignancies. In this report, we describe a case of CBS in which the carotid artery ruptured 2 months after carotid artery stenting in a patient with a previous history of surgery and irradiation for pharyngeal cancer. Although the distance between the orifice of the common carotid artery and the ruptured site was short, the “no-touch” technique —using the Newton-shaped stiff inner catheter (Newton-T ® , Medikit) during the guiding catheter navigation—and snare fixation enabled a stable procedure. Two self-expanding covered stents (GORE ® VIABAHN ® , Gore) covered the ruptured site. Despite adverse conditions, the combination of these techniques led to effective management of impending CBS, a potentially fatal disease. This case report highlights the feasibility of covered stents for CBS and the techniques used for guiding catheter navigation and stabilization throughout the procedure. |
| format | Article |
| id | doaj-art-2f252b913ee44df599198c4f338eb13d |
| institution | Kabale University |
| issn | 1753-9455 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Cardiovascular Disease |
| spelling | doaj-art-2f252b913ee44df599198c4f338eb13d2025-08-20T04:03:26ZengSAGE PublishingTherapeutic Advances in Cardiovascular Disease1753-94552025-08-011910.1177/17539447251366781Carotid blowout syndrome as a late complication of carotid stenting in irradiated neck: covered stent treatment using the “No-Touch” techniqueYohei TakenobuNoriko NomuraYoshito SugitaAkihiro OkadaTakeshi KawauchiYukinori TeradaMizuha ToyamaAkihiro FurutaHiroomi NishioAtsushi IwakuraManabu InoueKenji HashimotoCarotid blowout syndrome (CBS) is a potentially fatal condition requiring prompt diagnosis and intervention. CBS primarily affects patients with a history of surgery or irradiation for head and neck malignancies. In this report, we describe a case of CBS in which the carotid artery ruptured 2 months after carotid artery stenting in a patient with a previous history of surgery and irradiation for pharyngeal cancer. Although the distance between the orifice of the common carotid artery and the ruptured site was short, the “no-touch” technique —using the Newton-shaped stiff inner catheter (Newton-T ® , Medikit) during the guiding catheter navigation—and snare fixation enabled a stable procedure. Two self-expanding covered stents (GORE ® VIABAHN ® , Gore) covered the ruptured site. Despite adverse conditions, the combination of these techniques led to effective management of impending CBS, a potentially fatal disease. This case report highlights the feasibility of covered stents for CBS and the techniques used for guiding catheter navigation and stabilization throughout the procedure.https://doi.org/10.1177/17539447251366781 |
| spellingShingle | Yohei Takenobu Noriko Nomura Yoshito Sugita Akihiro Okada Takeshi Kawauchi Yukinori Terada Mizuha Toyama Akihiro Furuta Hiroomi Nishio Atsushi Iwakura Manabu Inoue Kenji Hashimoto Carotid blowout syndrome as a late complication of carotid stenting in irradiated neck: covered stent treatment using the “No-Touch” technique Therapeutic Advances in Cardiovascular Disease |
| title | Carotid blowout syndrome as a late complication of carotid stenting in irradiated neck: covered stent treatment using the “No-Touch” technique |
| title_full | Carotid blowout syndrome as a late complication of carotid stenting in irradiated neck: covered stent treatment using the “No-Touch” technique |
| title_fullStr | Carotid blowout syndrome as a late complication of carotid stenting in irradiated neck: covered stent treatment using the “No-Touch” technique |
| title_full_unstemmed | Carotid blowout syndrome as a late complication of carotid stenting in irradiated neck: covered stent treatment using the “No-Touch” technique |
| title_short | Carotid blowout syndrome as a late complication of carotid stenting in irradiated neck: covered stent treatment using the “No-Touch” technique |
| title_sort | carotid blowout syndrome as a late complication of carotid stenting in irradiated neck covered stent treatment using the no touch technique |
| url | https://doi.org/10.1177/17539447251366781 |
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