ICA pseudoaneurysms and fistulas presenting as severe epistaxis: Endovascular management

Internal carotid artery blister aneurysm rupture: a unifying diagnosis for massive epistaxis and unilateral embolic strokes

“…This, to our knowledge, is the first report of a ruptured petrous segment ICA blister aneurysm presenting with massive epistaxis and embolic ischaemic stroke secondary to previous sphenoid surgery and radiotherapy. Rapid thrombus formation with occlusion of the arterial wall defect allowed for survival of the initial aneurysm rupture event, allowing time for urgent endovascular management to prevent rerupture and death 6…”

Endovascular Management of Internal Carotid Artery Pseudoaneurysm Secondary to Pediatric Deep Neck Space Infection: A Case Report and Review of Literature

“…In addition to lesion-specific management, the child should be kept on antimicrobial cover for 4 to 6 weeks. 2,4,7 The probable complications of endovascular therapies include thromboembolism, arterial dissection, late stenosis, occlusion of stent graft, and recurrence. Immediate relief from compression-related symptoms may not be achieved with endovas-cular treatment.…”

“…2 5 Endovascular management has become the preferred treatment strategy due to its minimally invasive nature and lower complication rates. 6 7 We report a rare case of mycotic pseudoaneurysm of extracranial ICA in a 4-year-old child as a complication of neck space infection, which was successfully managed with endovascular parent artery occlusion (PAO).…”