# Emergent Endovascular Management of Carotid Blowout Syndrome: A Case Report

**Authors:** Elias Salloum, Ahmed Altan

PMC · DOI: 10.7759/cureus.81098 · Cureus · 2025-03-24

## TL;DR

This case report details a rare and dangerous condition in a cancer patient treated with emergency endovascular methods.

## Contribution

The paper presents a novel case of emergent endovascular treatment for carotid blowout syndrome in a previously irradiated patient.

## Key findings

- The patient had a 2.9cm pseudoaneurysm in the external carotid artery branch.
- Endovascular treatment was successfully used as an emergency intervention.
- Early diagnosis and prompt action were critical for the patient's outcome.

## Abstract

Carotid blowout syndrome is a rare but life-threatening complication in heavily treated head and neck cancer patients whose outcome depends on early diagnosis and prompt intervention. This report describes the case of a patient with prior irradiation who underwent emergent endovascular treatment after rupture of a 2.9cm external carotid artery branch pseudoaneurysm.

## Linked entities

- **Diseases:** head and neck cancer (MONDO:0005627)

## Full-text entities

- **Diseases:** rupture (MESH:D012421), head and neck cancer (MESH:D006258), pseudoaneurysm (MESH:D017541), Carotid Blowout Syndrome (MESH:D016893), carotid artery branch (MESH:D002340)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12017741/full.md

## References

12 references — full list in the complete paper: https://tomesphere.com/paper/PMC12017741/full.md

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Source: https://tomesphere.com/paper/PMC12017741