Zagorulko Alexey I. (PhD, MD, Head of the Department of X-ray Endovascular Methods of Diagnosis and Treatment No. 2 of the Branch of the Oncology Center No. 1 of the S. S. Yudin City Clinical Hospital of the Healthcare Department of Moscow)
Nistratov Grigory P. (PhD, MD, doctor of the Russian Academy of Medical Sciences, Department of X-ray Endovascular Methods of Diagnosis and Treatment No. 2 of the Branch of the Oncology Center No. 1 of the S. S. Yudin City Clinical Hospital of the Healthcare Department of Moscow)
Golubcov Andrey K. (PhD, MD, Head of the Oncological Department (head and neck tumors) Federal State Budgetary Scientific Institution "Russian Scientific Center of Surgery named after Academician B.V. Petrovsky", Moscow, Russia)
Kozlov D. ()
Koledinskiy Anton G. (PhD, MD, Head at the Department of Cardiology, endovascular surgery and hybrid methods of diagnosis and treatment at the medical institute of the RUDN University, endovascular surgery, Moscow, Russia. )
Rykov Stanislav P. (doctor at the Department of X-ray Endovascular Methods of Diagnosis and Treatment No. 2 of the Branch of the Oncology Center No. 1 of the S. S. Yudin City Clinical Hospital of the Healthcare Department of Moscow)
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Bleeding from advanced malignant neoplasms of the head and neck occurs in every tenth patient. The main method of stopping bleeding is ligation of the external carotid artery or its branches. An alternative method of combating bleeding is endovascular embolization of tumor vessels, as well as anastomoses with vessels on the opposite side.
Objective of the study. To evaluate the effectiveness of transarterial embolization for the treatment of bleeding in head and neck tumors in patients with developed inter- and intrasystemic anastomoses.
Material and methods. From January 2023 to May 2024, in the conditions of the ORCHMDiL№2 Department of Oncology Center№1 of City Clinical Hospital named after S.S. Yudin, 57 patients underwent 61 endovascular embolizations for bleeding from the tumor.
Results. During angiography, tumor vessels with a tumor spot were detected in 9 patients (15.8%), while during PDCT - 26 (45.6%), in 3 - extravasation of contrast agent (5.3%), arteriovenous shunt - in 27 (47.3%). Transarterial embolization was performed with the introduction of a catheter through the branches of the external carotid artery in 52 cases (91.2%), only the external carotid artery in 4 patients (7%), including one of these patients underwent embolization of the branches supplying blood to the tumor and through the vertebral artery (1.8%). Hemostasis was achieved angiographically in all patients. Recurrent bleeding occurred in five patients (8.8%). In three patients, bleeding was noted after two months, in one patient after 4 days. Three patients had a complication in the form of acute cerebrovascular accident. Conclusion. Endovascular method of hemostasis in bleeding from tumors of the head and neck, as well as the method of reducing intraoperative blood loss is effective.
Keywords:tumors of the head and neck, bleeding, X-ray endovascular methods of stopping bleeding, prevention of bleeding.
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Citation link:
Zagorulko A. I., Nistratov G. P., Golubcov A. K., Kozlov D. , Koledinskiy A. G., Rykov S. P. ARTERIAL ANASTOMOSES BETWEEN THE EXTERNAL AND INTERNAL CAROTID ARTERIES IN BLEEDING IN PATIENTS WITH DISINTEGRATING TUMORS OF THE HEAD AND NECK. ENDOVASCULAR HEMOSTASIS AND EMBOLOTHERAPY IN INTERVENTIONAL ONCORADIOLOGY // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№08. -С. 171-178 DOI 10.37882/2223-2966.2025.08.11 |
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