Embolization of the internal maxillary artery via open retrograde superficial temporal artery approach.

Autor: Miller LE; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, MA, USA., Mohan S; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, MA, USA., Essayed WI; Department of Neurosurgery, Brigham and Women's Hospital, Boston, MA, USA., Sukumaran M; Department of Neurosurgery, Brigham and Women's Hospital, Boston, MA, USA., Mirshahi S; Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA., Rabinov JD; Departments of Neurosurgery and Radiology, Massachusetts General Hospital, Boston, MA, USA., Du R; Department of Neurosurgery, Brigham and Women's Hospital, Boston, MA, USA., Rettig EM; Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2021 Nov 12; Vol. 2021 (11), pp. rjab508. Date of Electronic Publication: 2021 Nov 12 (Print Publication: 2021).
DOI: 10.1093/jscr/rjab508
Abstrakt: Sentinel bleeds in head and neck cancer patients present as an ominous symptom often necessitating urgent endovascular embolization. However, this approach can be complicated in patients who have previously undergone head and neck cancer ablation and reconstruction, thus altering the standard arterial vascular supply. Herein we describe an innovative method of internal maxillary artery (IMA) access in a patient with a sentinel bleed who previously underwent proximal external carotid artery (ECA) rerouting for free flap reconstruction. The open retrograde superficial temporal artery approach for IMA embolization is minimally invasive and effective and should be considered for head and neck cancer patients at risk of hemorrhage from distal ECA branches without a proximal ECA embolization option.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.)
Databáze: MEDLINE
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