{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T11:27:28Z","timestamp":1778153248970,"version":"3.51.4"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2008,1,1]],"date-time":"2008-01-01T00:00:00Z","timestamp":1199145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2008,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To report clinical manifestations, angiographic features, and outcomes of endovascular management in 14 patients with 15\u00a0radiation carotid blowout syndromes of nasopharyngeal carcinomas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Subjects<\/jats:title><jats:p>Retrospective chart review of 14 patients with nasopharyngeal carcinomas (mean age 49 years) with 15\u00a0radiation carotid blowout syndromes who had undergone endovascular embolization to manage oronasal bleeding in the past 10 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Average radiation dose to affected carotid artery was 73\u00a0gray units (latent period: 33\u00a0months). Radiation carotid blowout syndrome was detected in internal (n = 10), external (n = 4), or common carotid artery (n = 1). Detachable balloons were used in 11 affecting arteries for vascular occlusion; 4 were treated by liquid adhesives or coil. Endovascular treatment was successful in all 15\u00a0radiation carotid blowout syndromes with cessation of hemorrhage. One patient had hemiparesis after embolization. Mean clinical follow\u2010up was 21\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Radiation carotid blowout syndrome in nasopharyngeal carcinoma may occur in various periods or arteries. Endovascular embolization provides both safe and effective management.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2007.10.013","type":"journal-article","created":{"date-parts":[[2008,9,10]],"date-time":"2008-09-10T20:24:56Z","timestamp":1221078296000},"page":"86-91","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Radiation carotid blowout syndrome in nasopharyngeal carcinoma: Angiographic features and endovascular management"],"prefix":"10.1002","volume":"138","author":[{"given":"Chao\u2010Bao","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Radiology Taipei Veterans General Hospital Tapei Taiwan ROC"},{"name":"The Department of Radiology National Yang Ming University School of Medicine Tapei Taiwan ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Mu\u2010Huo","family":"Teng","sequence":"additional","affiliation":[{"name":"Department of Radiology Taipei 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