Post-Traumatic Changes in the Internal Carotid Artery and its Branches: An Arteriography Study

Radiology ◽  
1967 ◽  
Vol 89 (1) ◽  
pp. 95-100 ◽  
Author(s):  
J. D. R. Miller ◽  
T. N. Ayers
2015 ◽  
Vol 21 (3) ◽  
pp. 325-328 ◽  
Author(s):  
Andrea Giorgianni ◽  
Carlo Pellegrino ◽  
Renzo Minotto ◽  
Anna Mercuri ◽  
Fabio Baruzzi ◽  
...  

This paper is a case report of a young patient after a major head trauma causing multiple skull base fractures. The trauma occasioned pseudoaneurysm (PSA) from intracavernous C4 segment of left internal carotid artery (ICA) protruding in the sphenoidal sinus. After two months, two episodes of massive epistaxis occurred. Consequently, the post-traumatic PSA was treated, after carotid occlusion test, with flow-diverter stent positioning. A computed tomography angiography study performed in the following days showed complete resolution of the post-traumatic PSA lesion and ICA patency.


2018 ◽  
Vol 24 (6) ◽  
pp. 635-638
Author(s):  
Jorge L Gonzalez-Cantero ◽  
Mariano del Valle Diéguez ◽  
Cristina Monteserín Matesanz ◽  
Javier Saura Lorente ◽  
Francisco Villoria Medina ◽  
...  

We report a case of traumatic intracranial carotid artery pseudoaneurysm treated with an equine pericardium-covered stent. The patient was admitted to the Emergency Department after sustaining severe polytrauma in a motor vehicle accident. A cavernous carotid pseudoaneurysm was detected after an episode of massive epistaxis that required emergent nasal packing. Treatment with parent vessel sacrifice was ruled out after an unfavourable balloon test occlusion. We opted for an equine pericardium-covered stent as a means to immediately seal the wall defect in the setting of massive bleeding secondary to an unstable lesion. We describe the potential benefits and drawbacks of these prostheses and the technical difficulties encountered in this particular case. To our best knowledge, this is the first published case report on a post-traumatic intracranial internal carotid artery pseudoaneurysm successfully treated with an equine pericardium-covered stent.


2001 ◽  
Vol 8 (4) ◽  
pp. 212-217
Author(s):  
YS Sia ◽  
YT Wong ◽  
PG Kan ◽  
W Day ◽  
YW Fan

Head and neck injuries are very common in Hong Kong, especially resulting from assaulted or traffic accidents. Delayed manifestation of post-traumatic carotid thrombo-embolism and aneurismal formation are known pitfalls that emergency physicians and neurosurgeons may encounter. We present a patient with blunt neck injury with the complication of traumatic dissection of the extracranial internal carotid artery.


2005 ◽  
Vol 9 (1) ◽  
pp. 4 ◽  
Author(s):  
P. Szkup ◽  
S. Beningfield

Objective: To determine the efficiencyof latex detachable balloons inthe treatment of post-traumaticcarotid-cavernous fistulae (CCF).Methods: Management and outcomewere reviewed for 34 consecutivepatients with post-traumatic CCFpersonally treated by one of theauthors (PS) using latex detachableballoons during the 4-year period1996 - 2000.Results: Endovascular embolisationof 34 CCFs was attempted in 33patients. In 1 patient where the fistulawas a result of rupture of an intracavernousaneurysm, the fistulathrombosed spontaneously beforeembolisation was attempted. In the33 treated patients, the fistula wasoccluded in 30 cases (91%). Patencyof the internal carotid artery was preservedin 16 cases (53%).Conclusion: A high percentage(91%) of direct CCFs were successfullyoccluded with latex detachableballoons. There were no permanentneurological complications in any ofthe patients treated.


1989 ◽  
Vol 103 (1) ◽  
pp. 115-116
Author(s):  
M. J. R. R. Vanlierde

AbstractA patient presented with mild upper airway obstruction after being shot from behind through the neck and soft palate. Two days later he developed palsies of the IXth to XIIth cranial nerves inclusive on the traumatised side. These palsies resolved spontaneously after three weeks. Further investigation revealed the presence of a saccular aneurysm of the internal carotid artery. The internal carotid artery was ligated after gradual closure for three days using a Preston clamp.


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