Author:
Wu W-B.,Zhang X-B.,Liu Y-P.,Zou X.,You R.,Xie Y-L.,Duan X-T.,Li H-F.,Wen K.,Peng L.,Hua Y-J.,Huang P-Y.,Sun R.,Chen J-H.,Chen M-Y.
Abstract
Background: Post radiation nasopharyngeal necrosis (PRNN) invading the internal carotid artery (ICA) contributes to the death of 69.2–72.7% of PRNN patients. ICA occlusion is an effective treatment to avoid fatal bleeding, while some patients are intolerant. We present a novel method that allows for these patients without interrupting blood flow through the ICA. Methodology: This study enrolled patients with PRNN-invaded ICA who were not suitable for ICA occlusion from April 2020 to November 2022. ICA stent pretreatment was performed in the 36 patients and followed the endoscopic nasopharyngectomy (ENPG) or conservative treatment for PRNN. We report the survival outcome and incidence of complications after stent implantation and compare the survival outcomes of ENPG and conservative treatment for PRNN followed by stent implantation. Results: ICA stent pretreatment was performed in the 36 enrolled patients, among which 14 underwent ENPG, and 22 received conservative treatment. 27.8% patients died after a median follow-up of 15 months. The Kaplan-Meier estimates of overall survival were higher in the ENPG group than in the conservative treatment group. Karnofsky performance status (KPS) was significantly higher in the ENPG group than in the non-ENPG group. Conclusions: The innovative application of ICA stents is a promising treatment to improve outcomes in patients with PRNN invading the ICA who are unsuitable for ICA embolization, especially when followed by endoscopic surgery. However, methods to avoid postoperative cerebral ischemia and nasopharyngeal hemorrhage still require further study.
Subject
Literature and Literary Theory,Classics,Metals and Alloys,Polymers and Plastics,General Materials Science,Mechanical Engineering,Mechanics of Materials,General Materials Science,General Materials Science,Materials Chemistry,Metals and Alloys,Surfaces, Coatings and Films,Mechanical Engineering,Mechanics of Materials,Environmental Chemistry,Mechanical Engineering,Mechanics of Materials,General Materials Science,Industrial and Manufacturing Engineering,Mechanical Engineering,Mechanics of Materials,General Materials Science,Mechanics of Materials,General Materials Science,Building and Construction,Civil and Structural Engineering,Materials Chemistry,Metals and Alloys,Mechanical Engineering,Mechanics of Materials,Condensed Matter Physics,Ceramics and Composites