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AJNR Am J Neuroradiol · Aug 2006
Case ReportsBrain abscess formation: a delayed complication of carotid blowout syndrome treated by self-expandable stent-graft.
- F-C Chang, J-F Lirng, S-K Tai, C-B Luo, M M H Teng, and C-Y Chang.
- Department of Radiology, Taipei Veterans General Hospital, 201 Shih-Pai Road Section 2, Beitou, Taipei, Taiwan 11217, R.O.C. fcchang@vghtpe.gov.tw
- AJNR Am J Neuroradiol. 2006 Aug 1; 27 (7): 1543-5.
AbstractA 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.
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