Extracranial internal carotid artery pseudoaneurysm

DeFatta, Robert J.; Verret, D. J.; Bauer, Paul W.

doi:10.1016/j.ijporl.2005.03.001

Cited by 35 publications

(23 citation statements)

References 26 publications

(23 reference statements)

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“…Traditional approaches to TICAP include surgery, ligation of the common carotid artery or the internal carotid artery, as well as intra-and extra-cranial combined ligation of the internal carotid artery; however, all these methods have the drawbacks of unsatisfactory effect, serious surgical trauma, multiple complications, and so on (6,10). With development and gradual perfection in recent years, endovascular interventional therapy has been gradually taking the place of the traditional treatment methods for TICAP by virtue of its microtrauma and high recovery rate.…”

Section: Resultsmentioning

confidence: 99%

Diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm primarily manifested by repeated epistaxis

Chen¹,

Li²,

Xu³

et al. 2012

Turkish Neurosurgery

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AIm:The current study aims to explore the diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm (TICAP) primarily manifested by repeated epistaxis. mAterIAl and methOds: Clinical data from 31 patients suffering from repeated epistaxis after trauma were retrospectively analyzed. All patients were diagnosed definitely with pseudoaneurysm at the internal carotid cavernous sinus segment by digital subtract angiography (DSA).results: Endovascular interventional therapy was performed for all the patients. 20 patients received direct occlusion of the parent artery by embolization with detachable balloons and the rest received covered stent implantation to cover the parent arterial tear. No death occurred. Epistaxis did not recur after operation.COnClusIOn: DSA is the gold standard for TICAP diagnosis. Endovascular interventional therapy is the treatment of choice for TICAP. Compared with internal carotid artery occlusion with balloons, covered stent implantation is a more valuable endovascular intervention method.KeywOrds: Epistaxis, Pseudoaneurysm, Traumatic, Angiography, Interventional therapy ÖZ AmAÇ: Bu çalışma temel olarak tekrarlanan epistaksisle ortaya çıkan travmatik internal karotid arter psödoanevrizmasının (TİKAP) tanı ve tedavisini incelemeyi amaçlamaktadır. yÖntem ve GereÇler: Travma sonrasında tekrarlanan epistaksisi olan 31 hastanın klinik verileri retrospektif olarak analiz edildi. Tüm hastalara dijital subtraksiyon anjiyografisi (DSA) yoluyla internal karotid kavernöz sinüs segmentinde psödoanevrizma şeklinde kesin tanı kondu. BulGulAr:Endovasküler girişimsel tedavi tüm hastalarda yapıldı. 20 hastada ayrılabilir balonlarla embolizasyon yoluyla ana arterde doğrudan oklüzyon yapılırken diğerlerinde ana arteriyel yırtığı örtmek üzere örtülü stent implantasyonu yapıldı. Herhangi bir ölüm olmadı. Ameliyattan sonra epistaksis tekrarlamadı. sOnuÇ: TİKAP tanısı için altın standart DSA'dır. Endovasküler girişimsel tedavi TİKAP için tercih edilen tedavidir. Balonlarla yapılan internal karotid arter oklüzyonuyla karşılaştırıldığında, örtülü stent implantasyonu daha değerli bir endovasküler girişim yöntemidir.

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Section: Resultsmentioning

confidence: 99%

Diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm primarily manifested by repeated epistaxis

Chen¹,

Li²,

Xu³

et al. 2012

Turkish Neurosurgery

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“…If the situation is not life-threatening, immediate arteriography is the method of choice to identify the bleeding source with simultaneous embolization. Life-threatening situation mandate an immediate surgical treatment [253], [254], [255], [256], [257], [258], [259], [260], [261], [262], [263], [264], [265], [266], [267], [268], [269], [270]. …”

Section: Discussionmentioning

confidence: 99%

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Windfuhr

2013

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 12:Doc08; ISSN 1865-1011

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“…[9] Blood may also dissect through the subintimal or subadventitial space narrowing the true lumen of the vessel. [22] Pseudoaneurysms may be caused by blunt or penetrating craniocervical trauma, spontaneous dissection, and as a rare complication of carotid endarterectomy. [20] The most common clinical presentations include thromboembolic symptoms[78] or a pulsatile cervical mass or bruit on physical examination.…”

Section: Discussionmentioning

confidence: 99%

Endovascular implantation of covered stents in the extracranial carotid and vertebral arteries: Case series and review of the literature

Alaraj¹,

Wallace²,

Amin‐Hanjani³

et al. 2011

Surg Neurol Int

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Background:Covered stents are used endovascularly to seal arterial wall defects while preserving vessel patency. This report describes our experience with the use of covered stents to treat cervical pathology, and a review of the literature in regards to this topic is presented.Case Description:Two patients presenting with the carotid blowout syndrome and one patient with a vertebrojugular fistula were treated with covered stents. This allowed for preservation of the vessel and was a treatment alternative to cerebral bypass.Conclusion:Covered stents provide a viable means of preserving the cervical vessels in selected patients; however, long-term follow-up is necessary to determine stent patency and permanency of hemostasis.

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Extracranial internal carotid artery pseudoaneurysm

Cited by 35 publications

References 26 publications

Diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm primarily manifested by repeated epistaxis

Diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm primarily manifested by repeated epistaxis

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Endovascular implantation of covered stents in the extracranial carotid and vertebral arteries: Case series and review of the literature

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