Emergent endovascular treatment with direct carotid puncture for exsanguinating carotid blowout syndrome

Huan Wang, Kenneth Fraser, Carlo Bortolotti, Giuseppe Lanzino

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Introduction: Carotid Blowout Syndrome (CBS) carries an exceedingly high mortality rate. Various established endovascular techniques are successful in treating less acute CBS, but exsanguinating patients with hemodynamic compromise continue to pose a significant clinical challenge. Methods: We report a 53-year-old male with squamous cell carcinoma of the anterior tongue presented with a sentinel hemoptysis followed by a massive oral hemorrhage. The patient suffered a cardiac arrest secondary to acute blood loss, from which he was successfully resuscitated. Results: An occlusion technique is presented involving direct carotid puncture for successful treatment of hemodynamically unstable, exsanguinating patients. Conclusion: This technique accomplishes rapid arrest of exsanguination, minimal hemorrhage site manipulation, and successful carotid occlusion.

    Original languageEnglish (US)
    Pages (from-to)176-178
    Number of pages3
    JournalNeurocritical Care
    Volume2
    Issue number2
    DOIs
    StatePublished - Apr 2005

    Keywords

    • Carotid Blowout Syndrome
    • Carotid occlusion
    • Direct carotid puncture
    • Endovascular treatment
    • Exsanguinating

    ASJC Scopus subject areas

    • Clinical Neurology
    • Critical Care and Intensive Care Medicine

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