Endovascular Treatment of Peripheral Vascular Blowout Syndrome in End-Stage Malignancies
Fabio Corvino1, Francesco Giurazza1, Gianluca Cangiano1
1Interventional Radiology Department, AORN "A. Cardarelli", Naples, Italy.
Background:
Vascular blowout syndrome (VBOS) is a life-threatening condition secondary to direct tumor encasement or invasion in advanced stage malignancies. Endovascular management can be used as an alternative to surgical treatment in this fragile patient population, providing a minimally invasive measure both acutely and prophylactically.
Methods:
Three patients with peripheral VBOS secondary to advanced stage malignancies underwent successful endovascular treatment. Technical success was obtained in all patients with nonsignificant perioperative complications.
Results:
Endovascular management controlled immediate life-threatening hemorrhage and enabled these high-risk patients to undergo other adjunctive therapeutic modalities.
Conclusions:
Endovascular treatment can offer a safe and effective palliative measure of peripheral VBOS secondary to neoplastic erosion in patients with advanced stage malignancies.
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