Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-06T10:44:12.128Z Has data issue: false hasContentIssue false
  • English
  • Français

Arterial embolization for control of bleeding in advanced head and neck carcinoma

Published online by Cambridge University Press:  29 June 2007

Sanjay Bhansali ,
Harvey Wilner  and
John R. Jacobs
Sanjay Bhansali
Affiliation:
Departments of Otolaryngology, Wayne State University, Harper-Grace Hospitals, Detroti, MI 48201.
Harvey Wilner
Affiliation:
Departments of Radiology, Wayne State University, Harper-Grace Hospitals, Detroti, MI 48201.
John R. Jacobs*
Affiliation:
Departments of Otolaryngology, Wayne State University, Harper-Grace Hospitals, Detroti, MI 48201.
*
John R. Jacobs, M.D., Department of Otolarynology, Wayne State University, 540 East Canfield UHC-5E, Detroit, MI 48201, U.S.A.
Get access Rights & Permissions [Opens in a new window]

Abstract

There are a number of patients with unresectable recurrent carcinoma of the head and neck who continue to lead a relatively functional life despite advanced local disease. For these patients bleeding from tumor represents a devastating complication that can abruptly terminate the course of an otherwise chronic disease, albeit a uniformly fatal one. The technique we describe renders a relatively safe and effective treatment that seems to control this problem.

We report on our experience with three patients whose tumor bleeding was controlled by permanent intra-arterial embolization with Ivalon, a polyvinyl alcohol-based foam. The technique, indications, and complications are discussed.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 100 , Issue 11 , November 1986 , pp. 1289 - 1293
Copyright
Copyright © JLO (1984) Limited 1986

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Altemus, L. R., Bidwell, R. L., Knowles, J. E. and Lovely, D. K. (1979) Preoperative transfemoral catheter embolization of head and neck tumors. Journal of Maine Medical Association, 70: 357–360.Google Scholar
Biller, H. F., Krespi, Y. P. and Som, P. M. (1982) Combined therapy for vascular lesions of the head and neck with intra-arterial embolization and surgical excision. Otolaryngology, Head and Neck Surgery, 90: 37–47.Google Scholar
Burres, S. A., Wilner, H. I. and Jacobs, J. R. (1983) Nonsurgical management of a large recurrent glomus jugular tumor. Otolaryngology, Head and Neck Surgery, 91: 3: 312–315.Google Scholar
Hilal, S. K. and Michelsen, J. W. (1975) Therapeutic percutaneous embolization for extra-axial vascular lesions of the head, neck, and spine. Journal of Neurosurgery, 43: 275–287.CrossRefGoogle ScholarPubMed
Huizinga, W. K. J., Kalideen, J. M., Bryer, J. V., Bell, P. S. H. and Baker, L. W. (1984) Control of major hemorrhage associated with pancreatic pseudocysts by transcatheter arterial embolization. British Journal of Surgery, 71: 133–136.Google Scholar
Hungerford, G. D. (1981) Therapeutic embolization of extracranial lesions of the head and neck. Journal of Scientific Medical Association, 77: 5: 217–221.Google Scholar
Kaufman, S. L. (1979) Simplified method of transcatheter embolization with polyvinyl alcohol foam (Ivalon). American Journal of Radiology, 132: 853.Google Scholar
Kunstlinger, F., Brunelle, F., Chaumont, P. and Doyon, D. (1981) Review: Vascular occlusive agents. American Journal of Radiology, 136: 151–156.Google Scholar
Pandya, S. K., Najpal, R. D., Desai, A. P. and Purohit, A. V. (1978) Death following external carotid artery embolization for a functioning glomus jugular chemodectoma. Journal of Neurosurgery, 48: 1030–1034.CrossRefGoogle Scholar
Prian, G. W. and Pearlman, N. W. (1978) Permanent control of tumor bleeding with intraluminal balloon catheter. Head and Neck Surgery, 1: 148–149.CrossRefGoogle Scholar
Razack, M. S. and Sako, K. (1982) Carotid artery hemorrhage and ligation in head and neck cancer. Journal of Surgical Oncology, 19: 189–192.Google Scholar
White, R. I., Strandberg, J. V., Gross, G. S. and Barth, K. H. (1977) Therapeutic embolization with longterm occluding agents and their effects on embolized tissue. Radiology, 125: 677–687.Google Scholar