Branch ligatures and blood aspiration for post-traumatic superficial temporal artery pseudoaneurysm: surgical technique

Abstract

The aim of this study is to report a new minimally invasive technique of superficial temporal artery (STA) pseudoaneurysm treatment. Several surgical options have been employed to treat STA pseudoaneurysms. To address this rare condition, the employed techniques are ligation and excision of the aneurysm, endovascular coil embolization or percutaneous ultrasound-guided thrombin injection. Between techniques no significant differences are reported in terms of outcomes. The decision to adopt a technique depends on STA pseudoaneurysm morphology and surgeon preference. In the present report, STA pseudoaneurysm afferent and efferent branches were identified by ultrasound in a 92-year-old female. Under local anaesthesia, these branches were ligated through small skin incisions. STA pseudoaneurysm decompression was obtained by an 'over the needle aspiration'. A compressive dressing was left in space for 48 h.

A post-traumatic pulsatile nodule in the right pre-auricular region

“…21 Using ultrasound, the afferent and efferent branches were identified and, after administration of local anaesthetic, the branches were ligated through skin incisions. The pseudoaneurysm was then decompressed by needle aspiration.…”

The pulsatile head mass, ‘uncommon things are sometimes common’. A case series

“…Interventional management can be broadly divided into surgical and non surgical options [9–12] . Percutaneous thrombin injection can circumvent the risk of surgery to hault the aneurysm by forcing intraluminal clot formation.…”

Unusual Presentation of Traumatic Pseudoaneurysm of the Posterior Auricular Artery Manifesting by Massive Bleeding from the External Auditory Canal: A Case Report

“…First attempts at the treatment of pseudoaneurysms of the external carotid artery were performed by Hunter in the 18th century who showed the value of proximal artery ligation [10]. Treatment options for traumatic pseudoaneurysms include simple resection of the aneurysm, coil embolization [11] and direct thrombin injection [12], proximal ligation of parent artery or trapping of the aneurysm [13]. However, an open approach to many of these lesions may be fraught with peril due to grossly distorted and oedematous tissue planes that often have heavy bacterial colonisation [8].…”