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Management of vascular complications of head and neck cancer

Published online by Cambridge University Press:  05 September 2011

J Rimmer ,
C E B Giddings ,
F Vaz ,
J Brooks  and
C Hopper
J Rimmer*
Affiliation:
Department of Head and Neck Surgery, University College Hospital, London, UK
C E B Giddings
Affiliation:
Department of Otolaryngology and Head & Neck Surgery, Bart's and The London Hospitals, London, UK
F Vaz
Affiliation:
Department of Head and Neck Surgery, University College Hospital, London, UK
J Brooks
Affiliation:
Department of Interventional Radiology, University College Hospital, London, UK
C Hopper
Affiliation:
Department of Head and Neck Surgery, University College Hospital, London, UK
*
Address for correspondence: Miss Joanne Rimmer, 39 Handforth Road, London SW9 0LL, UK Fax: +44 (0)20 78339480 E-mail: jrimmer@doctors.org.uk
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Abstract

Background:

Major vascular complications in patients with head and neck cancer have previously been thought of as terminal events. However, it is now possible to intervene in many situations, with benefits for quality of life as well as survival. Endovascular techniques have reduced morbidity and mortality in many situations, both emergency and elective.

Method:

We describe the techniques that can be employed in such situations, and present illustrative case reports. Life-threatening haemorrhage, carotid compression and radiation-induced carotid stenosis are all discussed.

Conclusion:

It is possible to predict where complications may arise, and to take prophylactic steps to allow treatment to continue. Early intervention can reduce both morbidity and mortality in this high-risk patient group.

Keywords

Injuries, Carotid ArteryCarcinoma, Squamous CellCarotid StenosisStents
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 2 , February 2012 , pp. 111 - 115
Copyright
Copyright © JLO (1984) Limited 2011

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