Neurological Surgery 脳神経外科48巻10号

2020年10月発行

症例

Carotid blowout syndromeに対しcovered stentで治療するも再出血した1例

著者： 田中悠二郎¹ 橋本孝朗¹ 横山智哉¹ 新井佑輔¹ 菊野宗明² 佐藤宏樹³ 塚原清彰³ 河野道宏¹

所属機関： ¹東京医科大学病院脳神経外科 ²東京医科大学病院脳神経内科 ³東京医科大学病院耳鼻咽喉科・頭頚部外科

ページ範囲：P.935 - P.940

Ⅰ．はじめに
　Carotid blowout syndrome（CBS）は，頭頚部癌患者の経過中に頚動脈が破裂し大出血を起こす致死的合併症であり，しばしば血管内治療によるsalvageが試みられる．脳虚血耐性の不十分なCBS患者に対し，covered stentを使用し救命し得たものの，34日後に再出血を来した1例を提示し，CBS診療の現状と問題点について報告する．

参考文献

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