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  • Use of femoral compression device for neck compression in carotid blowout as a temporizing measure to achieve coil sacrifice

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Head and Neck
Use of femoral compression device for neck compression in carotid blowout as a temporizing measure to achieve coil sacrifice
  1. Gurmeen Kaur,
  2. Alan Stein,
  3. Chirag D Gandhi
  1. Department of Neurosurgery, Westchester Medical Center, Valhalla, New York, USA
  1. Correspondence to Dr Gurmeen Kaur, Westchester Medical Center, Valhalla, NY 10595, USA; kaur.gurmeen{at}gmail.com

https://doi.org/10.1136/neurintsurg-2020-016119

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    Carotid blowout syndrome (CBS) is a rare complication following resection of head and neck cancers, especially after re-irradiation for a recurrent tumor, and is associated with very high mortality (15–100%).1

    Our patient with squamous cell cancer of the tongue had undergone glossectomy and left radical neck dissection, followed by radiation. Six months after radiation, the patient had radiation necrosis of the overlying myofascial muscle flap. The carotid artery did not have any healthy …

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    Footnotes

    • Contributors GK: conceived the idea and wrote the first draft. AS, CDG: revised and edited the draft.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.