Embolization of the internal maxillary artery via open retrograde superficial temporal artery approach. J Surg Case Rep 2021 Nov;2021(11):rjab508
Date
11/23/2021Pubmed ID
34804488Pubmed Central ID
PMC8599046DOI
10.1093/jscr/rjab508Scopus ID
2-s2.0-85121225589 (requires institutional sign-in at Scopus site)Abstract
Sentinel bleeds in head and neck cancer patients present as an ominous symptom often necessitating urgent endovascular embolization. However, this approach can be complicated in patients who have previously undergone head and neck cancer ablation and reconstruction, thus altering the standard arterial vascular supply. Herein we describe an innovative method of internal maxillary artery (IMA) access in a patient with a sentinel bleed who previously underwent proximal external carotid artery (ECA) rerouting for free flap reconstruction. The open retrograde superficial temporal artery approach for IMA embolization is minimally invasive and effective and should be considered for head and neck cancer patients at risk of hemorrhage from distal ECA branches without a proximal ECA embolization option.
