Abstract
Rupture of the internal carotid artery is difficult to treat by direct surgery. In such cases, endovascular embolization therapy may be especially useful. We report a ruptured internal carotid artery that occurred after radical neck dissection and was treated by embolization.A 66-year-old man with cancer of the oral floor (squamous cell carcinoma) and metastatic cervical lymph nodes (T 3 N 2 bM 0) was referred to our hospital. The internal carotid artery ruptured after radical neck dissection and hemorrhagic shock occurred subsequently. Arterial embolization was performed because hemostasis was not achieved by suture of the artery. The arterial bleeding was controlled, and no neurological complications occurred after embolization. This technique was useful and less invasive than surgery for emergency treatment.
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