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Preoperative permanent balloon occlusion of internal carotid artery in patients with advanced head and neck squamous cell carcinoma
Author(s) -
Adams George L.,
Madison Michael,
Remley Kent,
Gapany Markus
Publication year - 1999
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199903000-00022
Subject(s) - medicine , occlusion , internal carotid artery , surgery , balloon , external carotid artery , radiology , carotid arteries
Objective/Hypothesis : To determine the value of preoperative balloon occlusion in predicting the safety of carotid artery resection in advanced recurrent head and neck squamous cell carcinoma. Study Design : Retrospective chart review of all cases undergoing planned carotid artery resection for recurrent disease at a major university hospital. Methods : If the carotid artery was encased, a nonemergent carotid artery balloon test occlusion was performed for 30 minutes. If the patient tolerated this, he or she underwent permanent carotid artery occlusion. Results : Twenty‐three patients were prospectively evaluated for resection. Three underwent emergent carotid artery ligation. Twenty others underwent nonemergent carotid artery test occlusion. Of these, 5 patients failed preoperative carotid artery balloon occlusion and 15 patients successfully underwent permanent carotid balloon occlusion. Although eight of these patients died of recurrent disease in less than 1 year, seven patients survived more than 1 year with two patients surviving more than 2 years. Conclusions : Preoperative carotid balloon occlusion predicted patients who could tolerate permanent occlusion. All patients eventually developed recurrent disease, but in 14 of the 15 patients, no hemorrhages occurred.