Endovascular Management of Post-Irradiated Carotid Blowout Syndrome
To retrospectively evaluate the clinical and technical factors related to the outcomes of endovascular management in patients with head-and-neck cancers associated with post-irradiated carotid blowout syndrome (PCBS). Between 2000 and 2013, 96 patients with PCBS underwent endovascular management. Th...
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| creator | Chang, Feng-Chi Luo, Chao-Bao Lirng, Jiing-Feng Lin, Chung-Jung Lee, Han-Jui Wu, Chih-Chun Hung, Sheng-Che Guo, Wan-Yuo |
| description | To retrospectively evaluate the clinical and technical factors related to the outcomes of endovascular management in patients with head-and-neck cancers associated with post-irradiated carotid blowout syndrome (PCBS).
Between 2000 and 2013, 96 patients with PCBS underwent endovascular management. The 40 patients with the pathological lesions located in the external carotid artery were classified as group 1 and were treated with embolization. The other 56 patients with the pathological lesions located in the trunk of the carotid artery were divided into 2 groups as follows: group 2A comprised the 38 patients treated with embolization, and group 2B comprised the 18 patients treated with stent-graft placement. Fisher's exact test was used to examine endovascular methods, clinical severities, and postprocedural clinical diseases as predictors of outcomes.
Technical success and immediate hemostasis were achieved in all patients. The results according to endovascular methods (group 1 vs 2A vs 2B) were as follows: technical complication (1/40[2.5%] vs 9/38[23.7%] vs 9/18[50.0%], P = 0.0001); rebleeding (14/40[35.0%] vs 5/38[13.2%] vs 7/18[38.9%]), P = 0.0435). The results according to clinical severity (acute vs ongoing PCBS) were as follows: technical complication (15/47[31.9%] vs 4/49[8.2%], P = 0.0035); rebleeding (18/47[38.3%] vs 8/49[16.3%], P = 0.0155). The results according to post-procedural clinical disease (regressive vs progressive change) were as follows: alive (14/21[66.7%] vs 8/75[10.7%], P |
| doi_str_mv | 10.1371/journal.pone.0139821 |
| format | Article |
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Between 2000 and 2013, 96 patients with PCBS underwent endovascular management. The 40 patients with the pathological lesions located in the external carotid artery were classified as group 1 and were treated with embolization. The other 56 patients with the pathological lesions located in the trunk of the carotid artery were divided into 2 groups as follows: group 2A comprised the 38 patients treated with embolization, and group 2B comprised the 18 patients treated with stent-graft placement. Fisher's exact test was used to examine endovascular methods, clinical severities, and postprocedural clinical diseases as predictors of outcomes.
Technical success and immediate hemostasis were achieved in all patients. The results according to endovascular methods (group 1 vs 2A vs 2B) were as follows: technical complication (1/40[2.5%] vs 9/38[23.7%] vs 9/18[50.0%], P = 0.0001); rebleeding (14/40[35.0%] vs 5/38[13.2%] vs 7/18[38.9%]), P = 0.0435). The results according to clinical severity (acute vs ongoing PCBS) were as follows: technical complication (15/47[31.9%] vs 4/49[8.2%], P = 0.0035); rebleeding (18/47[38.3%] vs 8/49[16.3%], P = 0.0155). The results according to post-procedural clinical disease (regressive vs progressive change) were as follows: alive (14/21[66.7%] vs 8/75[10.7%], P<0.0001); survival time (34.1±30.6[0.3-110] vs 3.6±4.0[0.07-22] months, P<0.0001).
The outcomes of endovascular management of PCBS can be improved by taking embolization as a prior way of treatment, performing endovascular intervention in slight clinical severity and aggressive management of the post-procedural clinical disease.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0139821</identifier><identifier>PMID: 26439632</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aneurysms ; Blood Vessel Prosthesis Implantation ; Cardiovascular system ; Care and treatment ; Carotid arteries ; Carotid artery ; Carotid Artery Diseases - etiology ; Carotid Artery Diseases - therapy ; Carotid Artery, External - surgery ; Consent ; Disease control ; Embolization ; Embolization, Therapeutic - methods ; Endovascular Procedures - methods ; Female ; Head & neck cancer ; Head and neck cancer ; Head and Neck Neoplasms - complications ; Hemostasis ; Hemostatics ; Hospitals ; Humans ; Implants ; Lesions ; Life assessment ; Male ; Management ; Medicine ; Methods ; Middle Aged ; Neck ; Patient outcomes ; Patients ; Polyvinyl alcohol ; Retrospective Studies ; Stents ; Surgical implants ; Therapeutic embolization ; Treatment Outcome ; Tumors ; Vascular diseases ; Vascular surgery</subject><ispartof>PloS one, 2015-10, Vol.10 (10), p.e0139821-e0139821</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Chang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Chang et al 2015 Chang et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-2edd70d77417a43f05f663c044e20f285fd5b5e1db4005b8d41335692e08c5143</citedby><cites>FETCH-LOGICAL-c692t-2edd70d77417a43f05f663c044e20f285fd5b5e1db4005b8d41335692e08c5143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595276/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595276/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2097,2916,23848,27906,27907,53773,53775,79350,79351</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26439632$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Arruda, Valder R.</contributor><creatorcontrib>Chang, Feng-Chi</creatorcontrib><creatorcontrib>Luo, Chao-Bao</creatorcontrib><creatorcontrib>Lirng, Jiing-Feng</creatorcontrib><creatorcontrib>Lin, Chung-Jung</creatorcontrib><creatorcontrib>Lee, Han-Jui</creatorcontrib><creatorcontrib>Wu, Chih-Chun</creatorcontrib><creatorcontrib>Hung, Sheng-Che</creatorcontrib><creatorcontrib>Guo, Wan-Yuo</creatorcontrib><title>Endovascular Management of Post-Irradiated Carotid Blowout Syndrome</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To retrospectively evaluate the clinical and technical factors related to the outcomes of endovascular management in patients with head-and-neck cancers associated with post-irradiated carotid blowout syndrome (PCBS).
Between 2000 and 2013, 96 patients with PCBS underwent endovascular management. The 40 patients with the pathological lesions located in the external carotid artery were classified as group 1 and were treated with embolization. The other 56 patients with the pathological lesions located in the trunk of the carotid artery were divided into 2 groups as follows: group 2A comprised the 38 patients treated with embolization, and group 2B comprised the 18 patients treated with stent-graft placement. Fisher's exact test was used to examine endovascular methods, clinical severities, and postprocedural clinical diseases as predictors of outcomes.
Technical success and immediate hemostasis were achieved in all patients. The results according to endovascular methods (group 1 vs 2A vs 2B) were as follows: technical complication (1/40[2.5%] vs 9/38[23.7%] vs 9/18[50.0%], P = 0.0001); rebleeding (14/40[35.0%] vs 5/38[13.2%] vs 7/18[38.9%]), P = 0.0435). The results according to clinical severity (acute vs ongoing PCBS) were as follows: technical complication (15/47[31.9%] vs 4/49[8.2%], P = 0.0035); rebleeding (18/47[38.3%] vs 8/49[16.3%], P = 0.0155). The results according to post-procedural clinical disease (regressive vs progressive change) were as follows: alive (14/21[66.7%] vs 8/75[10.7%], P<0.0001); survival time (34.1±30.6[0.3-110] vs 3.6±4.0[0.07-22] months, P<0.0001).
The outcomes of endovascular management of PCBS can be improved by taking embolization as a prior way of treatment, performing endovascular intervention in slight clinical severity and aggressive management of the post-procedural clinical disease.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysms</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Cardiovascular system</subject><subject>Care and treatment</subject><subject>Carotid arteries</subject><subject>Carotid artery</subject><subject>Carotid Artery Diseases - etiology</subject><subject>Carotid Artery Diseases - therapy</subject><subject>Carotid Artery, External - surgery</subject><subject>Consent</subject><subject>Disease control</subject><subject>Embolization</subject><subject>Embolization, Therapeutic - methods</subject><subject>Endovascular Procedures - methods</subject><subject>Female</subject><subject>Head & neck cancer</subject><subject>Head and neck cancer</subject><subject>Head and Neck Neoplasms - complications</subject><subject>Hemostasis</subject><subject>Hemostatics</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Implants</subject><subject>Lesions</subject><subject>Life assessment</subject><subject>Male</subject><subject>Management</subject><subject>Medicine</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Polyvinyl alcohol</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Surgical implants</subject><subject>Therapeutic embolization</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Vascular diseases</subject><subject>Vascular surgery</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl1v0zAYhSMEYmPwDxBEQkJw0eJvOzdIoxpQaWiIAbeWEzutKyfubGewf49Ls6lBu0C-sGU_59jv61MUzyGYQ8zhu40fQq_cfOt7MwcQVwLBB8UxrDCaMQTww4P1UfEkxg0AFAvGHhdHiBFcMYyOi8VZr_21is3gVCi_qF6tTGf6VPq2_Opjmi1DUNqqZHS5UMEnq8sPzv_yQyovb3odfGeeFo9a5aJ5Ns4nxY-PZ98Xn2fnF5-Wi9PzWcMqlGbIaM2B5pxArghuAW0Zww0gxCDQIkFbTWtqoK5JfmktNIEY0yw1QDQUEnxSvNz7bp2Pcqw_SshznZwRXmViuSe0Vxu5DbZT4UZ6ZeXfDR9WUoVkG2ekqjmtBEGsJoIoKqoaAwwJrBgHWFCTvd6Ptw11Z3STmxKUm5hOT3q7lit_LQmtKOIsG7wZDYK_GkxMsrOxMc6p3vhh924ECIVMgIy--ge9v7qRWqlcgO1bn-9tdqbylGAgSAUpz9T8HioPbTrb5LC0Nu9PBG8ngswk8zut1BCjXF5--3_24ueUfX3Aro1yaR29G5L1fZyCZA82wccYTHvXZAjkLuu33ZC7rMsx61n24vCD7kS34cZ_ADVS9ms</recordid><startdate>20151006</startdate><enddate>20151006</enddate><creator>Chang, Feng-Chi</creator><creator>Luo, Chao-Bao</creator><creator>Lirng, Jiing-Feng</creator><creator>Lin, Chung-Jung</creator><creator>Lee, Han-Jui</creator><creator>Wu, Chih-Chun</creator><creator>Hung, Sheng-Che</creator><creator>Guo, Wan-Yuo</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20151006</creationdate><title>Endovascular Management of Post-Irradiated Carotid Blowout Syndrome</title><author>Chang, Feng-Chi ; Luo, Chao-Bao ; Lirng, Jiing-Feng ; Lin, Chung-Jung ; Lee, Han-Jui ; Wu, Chih-Chun ; Hung, Sheng-Che ; Guo, Wan-Yuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-2edd70d77417a43f05f663c044e20f285fd5b5e1db4005b8d41335692e08c5143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysms</topic><topic>Blood Vessel Prosthesis Implantation</topic><topic>Cardiovascular system</topic><topic>Care and treatment</topic><topic>Carotid arteries</topic><topic>Carotid artery</topic><topic>Carotid Artery Diseases - etiology</topic><topic>Carotid Artery Diseases - therapy</topic><topic>Carotid Artery, External - surgery</topic><topic>Consent</topic><topic>Disease control</topic><topic>Embolization</topic><topic>Embolization, Therapeutic - methods</topic><topic>Endovascular Procedures - methods</topic><topic>Female</topic><topic>Head & neck cancer</topic><topic>Head and neck cancer</topic><topic>Head and Neck Neoplasms - complications</topic><topic>Hemostasis</topic><topic>Hemostatics</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Implants</topic><topic>Lesions</topic><topic>Life assessment</topic><topic>Male</topic><topic>Management</topic><topic>Medicine</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Neck</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Polyvinyl alcohol</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Surgical implants</topic><topic>Therapeutic embolization</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Vascular diseases</topic><topic>Vascular surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chang, Feng-Chi</creatorcontrib><creatorcontrib>Luo, Chao-Bao</creatorcontrib><creatorcontrib>Lirng, Jiing-Feng</creatorcontrib><creatorcontrib>Lin, Chung-Jung</creatorcontrib><creatorcontrib>Lee, Han-Jui</creatorcontrib><creatorcontrib>Wu, Chih-Chun</creatorcontrib><creatorcontrib>Hung, Sheng-Che</creatorcontrib><creatorcontrib>Guo, Wan-Yuo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Opposing Viewpoints in Context (Gale)</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chang, Feng-Chi</au><au>Luo, Chao-Bao</au><au>Lirng, Jiing-Feng</au><au>Lin, Chung-Jung</au><au>Lee, Han-Jui</au><au>Wu, Chih-Chun</au><au>Hung, Sheng-Che</au><au>Guo, Wan-Yuo</au><au>Arruda, Valder R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular Management of Post-Irradiated Carotid Blowout Syndrome</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-10-06</date><risdate>2015</risdate><volume>10</volume><issue>10</issue><spage>e0139821</spage><epage>e0139821</epage><pages>e0139821-e0139821</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To retrospectively evaluate the clinical and technical factors related to the outcomes of endovascular management in patients with head-and-neck cancers associated with post-irradiated carotid blowout syndrome (PCBS).
Between 2000 and 2013, 96 patients with PCBS underwent endovascular management. The 40 patients with the pathological lesions located in the external carotid artery were classified as group 1 and were treated with embolization. The other 56 patients with the pathological lesions located in the trunk of the carotid artery were divided into 2 groups as follows: group 2A comprised the 38 patients treated with embolization, and group 2B comprised the 18 patients treated with stent-graft placement. Fisher's exact test was used to examine endovascular methods, clinical severities, and postprocedural clinical diseases as predictors of outcomes.
Technical success and immediate hemostasis were achieved in all patients. The results according to endovascular methods (group 1 vs 2A vs 2B) were as follows: technical complication (1/40[2.5%] vs 9/38[23.7%] vs 9/18[50.0%], P = 0.0001); rebleeding (14/40[35.0%] vs 5/38[13.2%] vs 7/18[38.9%]), P = 0.0435). The results according to clinical severity (acute vs ongoing PCBS) were as follows: technical complication (15/47[31.9%] vs 4/49[8.2%], P = 0.0035); rebleeding (18/47[38.3%] vs 8/49[16.3%], P = 0.0155). The results according to post-procedural clinical disease (regressive vs progressive change) were as follows: alive (14/21[66.7%] vs 8/75[10.7%], P<0.0001); survival time (34.1±30.6[0.3-110] vs 3.6±4.0[0.07-22] months, P<0.0001).
The outcomes of endovascular management of PCBS can be improved by taking embolization as a prior way of treatment, performing endovascular intervention in slight clinical severity and aggressive management of the post-procedural clinical disease.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26439632</pmid><doi>10.1371/journal.pone.0139821</doi><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_1719376479 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Aged Aged, 80 and over Aneurysms Blood Vessel Prosthesis Implantation Cardiovascular system Care and treatment Carotid arteries Carotid artery Carotid Artery Diseases - etiology Carotid Artery Diseases - therapy Carotid Artery, External - surgery Consent Disease control Embolization Embolization, Therapeutic - methods Endovascular Procedures - methods Female Head & neck cancer Head and neck cancer Head and Neck Neoplasms - complications Hemostasis Hemostatics Hospitals Humans Implants Lesions Life assessment Male Management Medicine Methods Middle Aged Neck Patient outcomes Patients Polyvinyl alcohol Retrospective Studies Stents Surgical implants Therapeutic embolization Treatment Outcome Tumors Vascular diseases Vascular surgery |
| title | Endovascular Management of Post-Irradiated Carotid Blowout Syndrome |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T09%3A34%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Endovascular%20Management%20of%20Post-Irradiated%20Carotid%20Blowout%20Syndrome&rft.jtitle=PloS%20one&rft.au=Chang,%20Feng-Chi&rft.date=2015-10-06&rft.volume=10&rft.issue=10&rft.spage=e0139821&rft.epage=e0139821&rft.pages=e0139821-e0139821&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0139821&rft_dat=%3Cgale_plos_%3EA430849157%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1719376479&rft_id=info:pmid/26439632&rft_galeid=A430849157&rft_doaj_id=oai_doaj_org_article_ab7598426b484a589b3031419670385e&rfr_iscdi=true |