Author/Editor		Suárez, Carlos; Fernández-Alvarez, Verónica; Hamoir, Marc; Mendenhall, William M.; Strojan, Primož; Quer, Miquel; Silver, Carl E.; Rodrigo, Juan Pablo; Rinaldo, Alessandra; Ferlito, Alfio
Title		Carotid blowout syndrome
Type		članek
Vol. and No.		, št. Vol. 10
Publication year		2018
Volume		str. 5617-5628
ISSN		1179-1322 - Cancer management and research
Language		eng
Abstract		Carotid blowout syndrome (CBS) refers to rupture of the carotid artery and is an uncommon complication of head and neck cancer that can be rapidly fatal without prompt diagnosis and intervention. CBS develops when a damaged arterial wall cannot sustain its integrity against the patient%s blood pressure, mainly in patients who have undergone surgical procedures and radiotherapy due to cancer of the head and neck, or have been reirradiated for a recurrent or second primary tumor in the neck. Among patients irradiated prior to surgery, CBS is usually a result of wound breakdown, pharyngocutaneous fistula and infection. This complication has often been fatal in the past, but at the present time, early diagnosis and modern technology applied to its management have decreased morbidity and mortality rates. In addition to analysis of the causes and consequences of CBS, the purpose of this paper is to critically review methods for early diagnosis of this complication and establish individualized treatment based on endovascular procedures for each patient.
Keywords		head and neck cancer carotid blowout syndrome radiotherapy rak glave in vratu karotidna arterija sindrom popuščanja radioterapija