Carotid artery stent extrusion following carotid blowout syndrome

Carotid blowout syndrome is a rare but fatal complication of head and neck cancer. A 62-year-old female patient underwent carotid artery stent implantation for a carotid pseudoaneurysm following multiple surgeries. However, she subsequently presented to the emergency department with bleeding secondary to carotid artery stent extrusion. She underwent emergency surgery, and the carotid artery stent was removed. This case highlights the importance of long-term surveillance of carotid stents in cancer patients who are at risk for tissue necrosis and recurrence.