Ces radiol. 2025, 79(2):77-80 | DOI: 10.55095/CesRadiol2025/011

Endovascular treatment of acute carotid blowout syndrome - a case reportNews

Jan Krobot¹, Michal Leško^{3, 4}, Michal Hůlek^{2, 3}, Jan Raupach^{2, 3}, Pavel Ryška^{2, 3}, Mária Hanišová⁵, Jan Mejzlík^{3, 6}, Kateřina Rybková Bílá^{2, 3}, Vendelín Chovanec^{2, 3}

¹ Oddělení zobrazovacích metod KNTB Zlín a.s.

² Radiologická klinika FN, Hradec Králové

³ Univerzita Karlova, Lékařská fakulta v Hradci Králové

⁴ Chirurgická klinika FN, Hradec Králové

⁵ Klinika onkologie a radioterapie FN, Hradec Králové

⁶ Klinika otorinolaryngologie a chirurgie hlavy a krku FN, Hradec Králové Korespondenční adresa:

The aim of this report is to present a case where a rupture of the common carotid artery led to the formation of a pseudoaneurysm in a patient who previously underwent surgery and radiotherapy of the neck for a malignant tumor. Endovascular treatment was preferred over surgery due to post-radiation fibrosis in the affected cervical area and involved embolization of the external carotid artery and the placement of a self-expanding stent-graft across the neck of the pseudoaneurysm at the junction of the common and internal carotid artery.

Keywords: carotid blow out syndrome, endovascular treatment, stent-graft, pseudoaneurysm, carotid artery, radiotherapy, complication.

Accepted: February 14, 2025; Published: June 6, 2025  Show citation