دورية أكاديمية
أعرض في EDS

The Clinical Outcome of Carotid Blowout Syndrome Showing Non-bleeding Angiography.

التفاصيل البيبلوغرافية
العنوان: The Clinical Outcome of Carotid Blowout Syndrome Showing Non-bleeding Angiography.
المؤلفون: Lee BC; Graduate Institute of Clinical Medicine, National Taiwan University, Taipei, Taiwan.; Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan.; Department of Medical Imaging, Yun-Lin Branch, National Taiwan University Hospital, No.579, Sec. 2, Yunlin Rd., Douliu City, Yunlin County, 640, Taiwan., Hu YC; College of Medicine, National Taiwan University, Taipei, Taiwan., Lin YH; Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan., Chen YF; Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan., Hsieh HJ; Department of Medical Imaging, Yun-Lin Branch, National Taiwan University Hospital, No.579, Sec. 2, Yunlin Rd., Douliu City, Yunlin County, 640, Taiwan. hongjen.hsieh@gmail.com., Lee CW; Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan.
المصدر: Cardiovascular and interventional radiology [Cardiovasc Intervent Radiol] 2024 Jul; Vol. 47 (7), pp. 955-961. Date of Electronic Publication: 2024 Apr 23.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: United States NLM ID: 8003538 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-086X (Electronic) Linking ISSN: 01741551 NLM ISO Abbreviation: Cardiovasc Intervent Radiol Subsets: MEDLINE
أسماء مطبوعة: Publication: New York Ny : Springer Verlag
Original Publication: [Berlin, New York] Springer International.
مواضيع طبية MeSH: Angiography, Digital Subtraction*/methods , Embolization, Therapeutic*/methods, Humans ; Male ; Female ; Retrospective Studies ; Middle Aged ; Carotid Artery Diseases/diagnostic imaging ; Carotid Artery Diseases/complications ; Carotid Artery Diseases/therapy ; Hemorrhage/diagnostic imaging ; Hemorrhage/etiology ; Hemorrhage/therapy ; Treatment Outcome ; Aged
مستخلص: Objective: Patient with carotid blowout syndrome (CBS) may demonstrated non-bleeding digital subtraction angiography (DSA) without identifying pseudoaneurysm or contrast extravasation. Our objective is to evaluate the clinical outcomes for this specific subset of patients.
Materials and Methods: A retrospective observational study was conducted on 172 CBS patients who received DSA for evaluation of transarterial embolization (TAE) between 2005 and 2022, of whom 19 patients had non-bleeding DSA and did not undergo TAE.
Results: The age (55.2 ± 7.3 vs. 54.8 ± 11.1), male sex (17/19 vs. 135/153), tumor size (5.6 ± 2.4 vs. 5.2 ± 2.2), cancer locations were similar (P > 0.05) between both groups; except for there were more pseudoaneurysm/active bleeding (85.6% vs. 0%) and less vascular irregularity (14.4% vs. 94.7%) in the TAE group (P < 0.001). In the multivariable Cox regression model adjusting for age, sex, and tumor size, non-bleeding DSA group was independently associated with recurrent bleeding compared to TAE group (adjusted hazard ratio = 3.5, 95% confidence interval: 1.9-6.4, P < 0.001). Furthermore, the presence of vascular irregularity was associated with segmental recurrent bleeding (adjusted HR = 8.0, 95% CI 2.7-23.3, P < 0.001).
Conclusion: Patient showing non-bleeding DSA thus not having TAE had higher risk of recurrent bleeding, compared to patient who received TAE. Level of Evidence Level 4, Case Series.
(© 2024. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).)
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معلومات مُعتمدة: 112-S0198 National Taiwan University Hospital; 111-X0002 National Taiwan University Hospital; 111-2314-B-002-250-MY2 National Science and Technology Council of Taiwan
فهرسة مساهمة: Keywords: Angiography; Carotid blowout syndrome; Head and neck cancer; Human
تواريخ الأحداث: Date Created: 20240423 Date Completed: 20240711 Latest Revision: 20240711
رمز التحديث: 20240711
DOI: 10.1007/s00270-024-03723-y
PMID: 38653811
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-086X
DOI:10.1007/s00270-024-03723-y