Internal Carotid Artery Aneurysm: Large Cavernous Carotid Artery Aneurysm Causing Compression of the Internal Carotid Artery in a Young Woman with Ehlers-Danlos Syndrome with Segmental Dissections of the Carotid and Vertebral Arteries; Complete Reconstruction of the Internal Carotid Artery with Five Pipeline Embolization Devices; Complete Aneurysm Resolution and Good Clinical Outcome

2019 ◽  
pp. 1-12
Author(s):  
Carlos Bleise ◽  
Rene Viso ◽  
Ivan Lylyk ◽  
Jorge Chudyk ◽  
Pedro Lylyk
2011 ◽  
Vol 125 (10) ◽  
pp. 1070-1072 ◽  
Author(s):  
A Davies ◽  
O Dale ◽  
S Renowden

AbstractObjective:We report a rare case of epistaxis resulting from a ruptured internal carotid artery aneurysm, and present a successful treatment method.Case report:A 72-year-old woman was admitted following recurrent massive epistaxis. There was no history of trauma or surgery. Radiographic imaging demonstrated a large internal carotid artery aneurysm. An attempt was made to occlude the aneurysm with endovascular coils. Despite this, the patient went on to have further epistaxis. Endovascular ablation of the feeding internal carotid artery led to complete resolution.Conclusion:This case demonstrates that spontaneous epistaxis from intra-cavernous carotid artery aneurysms can be managed using endovascular techniques. To our knowledge, we report the first use of interventional radiological techniques to assess the collateral circulation to the brain and subsequently undertake endovascular ablation of the internal carotid artery.


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