Delayed development of brain abscesses following stent-graft placement in a head and neck cancer patient presenting with carotid blowout syndrome

Yaseen Oweis, Joseph J. Gemmete, Neeraj Chaudhary, Aditya Pandey, Sameer Ansari

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

We describe the delayed development of intracranial abscesses following emergent treatment with a covered stent-graft for carotid blowout syndrome (CBS) in a patient with head and neck cancer. The patient presented with hemoptysis and frank arterial bleeding through the tracheostomy site. A self-expandable stent-graft was deployed across a small pseudoaneurysm arising from the right common carotid artery (RCCA) and resulted in immediate hemostasis. Three months later, the patient suffered a recurrent hemorrhage. CT of the neck demonstrated periluminal fluid around the caudal aspect of the stent-graft with intraluminal thrombus and a small pseudoaneurysm. Subsequently, the patient underwent a balloon test occlusion study and endovascular sacrifice of the RCCA and right internal carotid artery. MRI of the brain demonstrated at least four ring-enhancing lesions within the right cerebral hemisphere consistent with intracranial abscesses that resolved with broad-spectrum antibiotic coverage.

Original languageEnglish (US)
Pages (from-to)S31-S35
JournalCardiovascular and Interventional Radiology
Volume34
Issue numberSUPPL. 2
DOIs
StatePublished - Feb 1 2011

Keywords

  • Carotid blowout syndrome
  • Intracranial abscess
  • Septic emboli
  • Stent-graft

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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