Cardioneuroablation for treatment of carotid sinus syndrome secondary to oropharyngeal squamous cell cancer

J Cardiovasc Electrophysiol. 2023 May;34(5):1305-1309. doi: 10.1111/jce.15895. Epub 2023 Mar 30.

Abstract

Head and neck tumors can rarely cause carotid sinus syndrome and this often resolves by surgical intervention or palliative chemoradiotherapy. If these modalities are not an option or are ineffective, the most preferred treatment is permanent pacemaker therapy. Here, we present the first case of cardioneuroablation treatment performed in patient with oropharyngeal squamous cell cancer who developed recurrent asystole and syncope attacks due to compression of the carotid sinus on neck movement.

Keywords: cardioneuroablation; carotid sinus syndrome; head and neck tumor; oropharyngeal squamous cell cancer; pacemaker; syncope.

Publication types

  • Case Reports

MeSH terms

  • Carotid Sinus
  • Head and Neck Neoplasms* / complications
  • Head and Neck Neoplasms* / therapy
  • Humans
  • Neoplasms, Squamous Cell* / complications
  • Neoplasms, Squamous Cell* / therapy
  • Pacemaker, Artificial* / adverse effects
  • Syncope / diagnosis
  • Syncope / etiology