scholarly journals Endovascular Embolization of a Dissected External Carotid Artery Pseudoaneurysm in a Young Female with Neurofibromatosis Complicated by Preeclampsia

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Sasha Lalla ◽  
Rajeev Seecheran ◽  
Valmiki Seecheran ◽  
Sangeeta Persad ◽  
Ronald Henry ◽  
...  

Carotid artery pseudoaneurysms are infrequently encountered in clinical practice. Major contributory etiologies include blunt trauma, infections, cystic medial necrosis, fibromuscular dysplasia, arteriosclerosis, and congenital abnormalities. The authors report an exceedingly rare case of a dissected external carotid artery pseudoaneurysm in a 26-year-old female patient with neurofibromatosis complicated by preeclampsia at 28-week period of gestation, safely and successfully treated by coil embolization.

2017 ◽  
Vol 01 (03) ◽  
pp. 184-189
Author(s):  
Rahul Kumar ◽  
Ankur Goyal ◽  
Ashu Bhalla ◽  
Sonia Sandip ◽  
Kapil Sikka

AbstractA 25-year-old patient presented with bleeding of right pinna arteriovenous malformation (AVM). There was history of ipsilateral external carotid artery (ECA) ligation 10 years back. Subsequent investigations (ultrasound, magnetic resonance imaging, digital subtraction angiography) showed recruitment of complex collaterals from the ipsilateral subclavian artery and vertebral artery feeding the recurrent nidus. The patient underwent two sessions of endovascular embolization and one session of percutaneous embolization. We wish to highlight the feasibility of antegrade embolization in such cases via collaterals and role of direct percutaneous treatment.


2015 ◽  
Vol 119 (3) ◽  
pp. e95-e100 ◽  
Author(s):  
André Luis Ribeiro Ribeiro ◽  
Walessa Brasil da Silva ◽  
Sérgio de Melo Alves-Junior ◽  
João de Jesus Viana Pinheiro

2012 ◽  
Vol 18 (3) ◽  
pp. 353-357 ◽  
Author(s):  
S.W. Hetts ◽  
S. Mong ◽  
R. Sincic ◽  
J.D. English ◽  
M.W. Wilson

External carotid artery (ECA) pseudoaneurysm is a known complication of treatment for head and neck cancer. We report a case of facial artery pseudoaneurysm arising after irradiation and salvage surgery for advanced tonsillar cancer, that was treated with endovascular embolization. The case was complicated by delayed transcutaneous extrusion of embolization coils through the skin of the anterior neck. We review the literature for related cases of coil extrusion in the head and neck, and discuss the implications for pseudoaneurysm surveillance.


2004 ◽  
Vol 118 (12) ◽  
pp. 991-995 ◽  
Author(s):  
Anthony J.P. Goddard ◽  
Robert K. Lenthall ◽  
Patrick J. Bradley

Carotid artery pseudoaneurysms are rare lesions and are increasingly treated by endovascular means. This paper reports the case of a patient presenting with haemorrhage due to a left external carotid artery pseudoaneurysm seven weeks after total laryngectomy for carcinoma. The lesion recurred and rebled after technically successful emergency endovascular occlusion. Subsequent aneurysmectomy and carotid sacrifice resulted in fatal hemispheric infarction. The aneurysm was demonstrated to be infected on white cell study and subsequent histopathology. We propose that infection within the aneurysm itself was a significant factor in its recurrence and rebleeding after endovascular occlusion. If infection is proven or suspected then consideration should be given to early surgical rather than endovascular intervention.


2000 ◽  
Vol 122 (2) ◽  
pp. 307-309 ◽  
Author(s):  
M. zafer Uğuz ◽  
Kazlm Önal ◽  
Semih Öncel ◽  
Ilhan Topaloğlu ◽  
Nezahat Erdoğan ◽  
...  

2018 ◽  
Vol 10 (7) ◽  
pp. e18-e18 ◽  
Author(s):  
Zachary Wilseck ◽  
Luis Savastano ◽  
Neeraj Chaudhary ◽  
Aditya S Pandey ◽  
Julius Griauzde ◽  
...  

Carotid blowout syndrome (CBS) is a known devastating complication of head and neck surgery. The risk of developing CBS increases in the setting of radiation therapy, wound breakdown, or tumor recurrence. Traditionally, the treatment of choice for CBS is surgical ligation of the bleeding artery; however, recently, endovascular occlusion has become a more common option. If a pseudoaneurysm is present, treatment consists of trapping with endovascular coils or occlusion with a liquid embolic agent. Delayed migration of embolization coils into the airway causing acute respiratory distress is a rare occurrence. This report presents a case of a 57-year-old woman who presented to her otolaryngologist after experiencing an episode of acute respiratory distress which resolved when she expectorated embolization coil material from her tracheostomy tube. Three months prior to the episode she underwent coil embolization of an external carotid artery pseudoaneurysm for life-threatening hemorrhage.


Sign in / Sign up

Export Citation Format

Share Document