Internal Carotid Artery Pseudoaneurysm With Life-Threatening Epistaxis as a Complication of Deep Neck Space Infection

2011 ◽  
Vol 27 (5) ◽  
pp. 422-424 ◽  
Author(s):  
Paulo Sérgio Lucas da Silva ◽  
Daniel Reis Waisberg
2010 ◽  
Vol 157 (3) ◽  
pp. 510 ◽  
Author(s):  
Marc Makeieff ◽  
Pierfrancesco Pelliccia ◽  
Michel Mondain ◽  
Paolo Machi

Author(s):  
Rengarajan Rajagopal ◽  
Smily Sharma ◽  
Meenu Bagarhatta ◽  
Sarbesh Tiwari ◽  
Rajeev Bagarhatta

AbstractPseudoaneurysms of extracranial internal carotid artery (ICA) are rare in children. Main causes include trauma, iatrogenic causes, and neck space infection. Prompt diagnosis and management is vital, in view of life-threatening complications like fatal airway hemorrhage and stroke. Endovascular management has currently become the preferred treatment strategy due to its minimally invasive nature and lower complication rates. 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.


2019 ◽  
Vol 46 (6) ◽  
pp. 912-916 ◽  
Author(s):  
Ana Penezić ◽  
Luka Ljubešić ◽  
Tomislav Gregurić ◽  
Krešo Zurak ◽  
Davor Vagić ◽  
...  

VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 491-494 ◽  
Author(s):  
Vávrová ◽  
Slezácek ◽  
Vávra ◽  
Karlová ◽  
Procházka

Internal carotid artery pseudoaneurysm is a rare complication of deep neck infections. The authors report the case of a 17-year-old male who presented to the Department of Otorhinolaryngology with an acute tonsillitis requiring tonsillectomy. Four weeks after the surgery the patient was readmitted because of progressive swallowing, trismus, and worsening headache. Computed tomography revealed a pseudoaneurysm of the left internal carotid artery in the extracranial segment. A bare Wallstent was implanted primarily and a complete occlusion of the pseudoaneurysm was achieved. The endovascular approach is a quick and safe method for the treatment of a pseudoaneurysm of the internal carotid artery.


2015 ◽  
Vol 50 (3) ◽  
pp. 168-172 ◽  
Author(s):  
Anita Jagetia ◽  
Divyajyoti Sharma ◽  
Daljit Singh ◽  
Sanjiv Sinha ◽  
Pragati Ganjoo ◽  
...  

2017 ◽  
Vol 20 (3) ◽  
pp. 239-246
Author(s):  
Sunil Manjila ◽  
Gagandeep Singh ◽  
Obinna Ndubuizu ◽  
Zoe Jones ◽  
Daniel P. Hsu ◽  
...  

The authors demonstrate the use of an endovascular plug in securing a carotid artery pseudoaneurysm in an emergent setting requiring craniotomy for a concurrent subdural empyema.They describe the case of a 14-year-old boy with sinusitis and bifrontal subdural empyema who underwent transsphenoidal exploration at an outside hospital. An injury to the right cavernous segment of the ICA caused torrential epistaxis. Bleeding was successfully controlled by inflating a Foley balloon catheter within the sphenoid sinus, and the patient was transferred to the authors’ institution. Emergent angiography showed a dissection of the right cavernous carotid artery, with a large pseudoaneurysm projecting into the sphenoid sinus at the site of arterial injury. The right internal carotid artery was obliterated using pushable coils distally and an endovascular plug proximally. The endovascular plug enabled the authors to successfully exclude the pseudoaneurysm from the circulation. The patient subsequently underwent an emergent bifrontal craniotomy for evacuation of a left frontotemporal subdural empyema and exenteration of both frontal sinuses. He made a complete neurological recovery.Endovascular large-vessel sacrifice, obviating the need for numerous coils and antiplatelet therapy, has a role in the setting of selected acute neurosurgical emergencies necessitating craniotomy. The endovascular plug is a useful adjunct in such circumstances as the device can be deployed rapidly, safely, and effectively.


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