Traumatic Anterior Cerebral Artery Pseudoaneurysmal Epistaxis

Liu, Qing lin; Xue, Hao; Qi, Chang jing; Zhao, Peng; Wang, Dong hai; Chen, Yingjie

doi:10.1016/j.wneu.2016.11.138

Cited by 4 publications

(2 citation statements)

References 35 publications

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“…The advantage of selective pseudoaneurysm embolization is the preservation of the parent artery (Figure 2). However, pseudoaneurysm recurrence is still a major issue for patients treated with simple coiling (7,9,11,14,16,26,30,53,60,63). Due to coil impaction into the thrombus (14), flow pulsatility may force into the interstices of the coil mass and lead to recurrent bleeding (27).…”

Section: Endovascular Embolizationmentioning

confidence: 99%

Intracranial Pseudoaneurysms: Evaluation and Management

Zheng

Lu²,

Shen

et al. 2020

Front. Neurol.

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Intracranial pseudoaneurysms account for about 1% of intracranial aneurysms with a high mortality. The natural history of intracranial pseudoaneurysm is not well-understood, and its management remains controversial. This review provides an overview of the etiology, pathophysiology, clinical presentation, imaging, and management of intracranial pseudoaneurysms. Especially, this article emphasizes the factors that should be considered for the most appropriate management strategy based on the risks and benefits of each treatment option.

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Section: Endovascular Embolizationmentioning

confidence: 99%

Intracranial Pseudoaneurysms: Evaluation and Management

Zheng

Lu²,

Shen

et al. 2020

Front. Neurol.

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“…34 The choice of procedure in the setting of catastrophic hemorrhage due to underlying anatomic pathology is driven by what is most likely to be rapidly successful. [15][16][17][18][19] Systemic (intravenous) treatment with the anti-vascular endothelial growth factor monoclonal antibody bevacizumab has been shown to be effective in decreasing the frequency of hemorrhagic complications of HHT. 35,36 However, it has been challenging to demonstrate any significant decrease in frequency and severity of epistaxis.…”

mentioning

confidence: 99%

Endovascular Treatment of Epistaxis

Wojak

2020

Semin intervent Radiol

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Epistaxis is not uncommon, with up to 60% of the population suffering from at least one episode in their lifetime and as many as 6% presenting for medical attention. An analysis of emergency room (ER) visits in the United States between 2009 and 2011 identified 1.2 million encounters for epistaxis, accounting for 0.32% of ER visits. Approximately 6% of patients will require more aggressive, invasive management in the form of transnasal ligation of the sphenopalatine artery or endovascular embolization. This article reviews the epidemiology, rationale for endovascular treatment, strategy for treatment, endovascular technique, postprocedural follow-up, and complications and their management.

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Pseudoaneurysm of the Internal Carotid Artery After Craniofacial Traumatism: Series of Cases and Integrative Literature Review

Pinto

Viana

Souza

et al. 2020

Craniomaxillofacial Trauma & Reconstruction

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The present study aims to develop an integrative review about pseudoaneurysms after traumatic facial trauma, through the analysis of its etiology, type of fracture, signs and symptoms, time elapsed between the trauma and the exposure of signs and symptoms, and treatment performed in these cases. Furthermore into the report, there are 3 clinical cases that occurred in the Buccomaxillofacial Surgery and Traumatology service of Hospital da Restauração Recife/PE. The study was carried out in 2 phases, first, a digital research about post-traumatic craniofacial pseudoaneurysm was performed in the following databases “MEDLINE/PubMed,” “Scielo” and “Scopus,” in September 2019, with 5 articles being included. In the second, 3 cases of patients with high-impact facial trauma who developed pseudoaneurysm of the internal carotid artery were reported. The average age of the patients was 35.6 years, all patients were male (100%), the majority (60%) being victims of an automobile accident, 3 patients (60%) suffered craniofacial trauma and 2 (40%) had trauma only to the face, most of them had symptoms later on due to the trauma, in 80% of cases the therapy instituted was embolization. Cases of high-impact craniofacial traumas, which present epistaxis and/or ophthalmological alterations correlated to fractures, should be carefully evaluated, determining a better prognosis for the patient.

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Traumatic Anterior Cerebral Artery Pseudoaneurysmal Epistaxis

Cited by 4 publications

References 35 publications

Intracranial Pseudoaneurysms: Evaluation and Management

Intracranial Pseudoaneurysms: Evaluation and Management

Endovascular Treatment of Epistaxis

Pseudoaneurysm of the Internal Carotid Artery After Craniofacial Traumatism: Series of Cases and Integrative Literature Review

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