scholarly journals Delayed Transcutaneous Extrusion of Embolic Coils after Embolization of Facial Artery Pseudoaneurysm

2012 ◽  
Vol 18 (3) ◽  
pp. 353-357 ◽  
Author(s):  
S.W. Hetts ◽  
S. Mong ◽  
R. Sincic ◽  
J.D. English ◽  
M.W. Wilson
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Salvage Surgery ◽  
Endovascular Embolization ◽  
External Carotid Artery ◽  
Facial Artery ◽  
External Carotid ◽  
Anterior Neck ◽  
Artery Pseudoaneurysm ◽  
Embolic Coils

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.

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 ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Fibromuscular Dysplasia ◽  
Congenital Abnormalities ◽  
Young Female ◽  
Endovascular Embolization ◽  
External Carotid Artery ◽  
External Carotid ◽  
Cystic Medial Necrosis ◽  
Artery Pseudoaneurysm ◽  
Medial Necrosis

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.

scholarly journals Transarterial embolization with N-butyl 2-cyanoacrylate for the treatment of recurrent secondary post-tonsillectomy hemorrhage

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Ahmad Sayed Awad ◽  
Amr A. Nassef ◽  
Shady Nabil Mashhour
Keyword(s):  
Transarterial Embolization ◽  
Transcatheter Embolization ◽  
Postoperative Hemorrhage ◽  
Endovascular Embolization ◽  
External Carotid Artery ◽  
Facial Artery ◽  
External Carotid ◽  
Lingual Artery ◽  
Safe Procedure ◽  
Clinical Complications

Abstract Background Postoperative hemorrhage is a potential complication of tonsillectomy, and early diagnosis and adequate management are mandatory to prevent hemorrhagic shock. The aim of this study was to assess the safety and efficacy of transcatheter embolization of recurrent post-tonsillectomy hemorrhage by using N-butyl 2-cyanoacrylate. Results We performed a retrospective analysis of the medical records, imaging findings, technical details, and clinical outcome of eight patients with delayed post-tonsillectomy hemorrhage who underwent endovascular embolization. All patients were followed up; technical and clinical successes of treatment were evaluated. All patients had arterial pseudoaneurysm as a source of bleeding. The injured artery was facial artery in four patients, lingual artery in three patients, and linguofacial trunk in one patient. All lesions were treated by endovascular embolization using NBCA glue. All patients were successfully embolized with no clinical complications. In one patient with pseudoaneurysm at the ostium of the facial artery, after filling the pseudoaneurysm with glue, inadvertently proximal reflux into the adjacent part of the external carotid artery (ECA) occurred leading to its occlusion with no related immediate or delayed complication. Conclusion Endovascular embolization is an effective and almost safe procedure in the management of recurrent post-tonsillectomy bleeding. In such cases, we can use NBCA glue with certain precautions as an effective appropriate embolizing agent.

Republished: Delayed extrusion of embolic coils into the airway after embolization of an external carotid artery pseudoaneurysm

2018 ◽  
Vol 10 (7) ◽  
pp. e18-e18 ◽  
Author(s):  
Zachary Wilseck ◽  
Luis Savastano ◽  
Neeraj Chaudhary ◽  
Aditya S Pandey ◽  
Julius Griauzde ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Respiratory Distress ◽  
Neck Surgery ◽  
External Carotid Artery ◽  
Embolic Agent ◽  
External Carotid ◽  
Artery Pseudoaneurysm ◽  
Wound Breakdown ◽  
Embolization Coil ◽  
Embolic Coils

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.

scholarly journals Delayed extrusion of embolic coils into the airway after embolization of an external carotid artery pseudoaneurysm

2017 ◽  
pp. bcr-2017-013178
Author(s):  
Zachary Wilseck ◽  
Luis Savastano ◽  
Neeraj Chaudhary ◽  
Aditya S Pandey ◽  
Julius Griauzde ◽  
...  
Keyword(s):  
Carotid Artery ◽  
External Carotid Artery ◽  
External Carotid ◽  
Artery Pseudoaneurysm ◽  
Embolic Coils

scholarly journals ANATOMICAL VARIATIONS IN THE BRANCHES OF EXTERNAL CAROTID ARTERY IN CADAVERS

2020 ◽  
pp. 1-3
Author(s):  
Prashant Munjamkar ◽  
N. Y. Kamdi
Keyword(s):  
Carotid Artery ◽  
Head And Neck ◽  
External Carotid Artery ◽  
Facial Artery ◽  
External Carotid ◽  
Lingual Artery ◽  
Common Trunk ◽  
Occipital Artery ◽  
External Diameter ◽  
Branching Pattern

Background: External carotid artery (ECA) is the main artery of head and neck region. It has eight named branches to maintain a rich vascularity of most of the structures of head and neck. The present study was undertaken to assess external diameter of ECA at origin and branching pattern of ECA. Methods: A total of 100 carotid specimens of 50 human cadavers (24 males and 26 females) were dissected in the Department of Anatomy at medical colleges and diameter and branching pattern of ECA were noted. Results: The diameter of ECA at its origin was in the ranged between 4.5 to 8 mm with mean of 6.676±0.8053 mm. 77% cases showed normal branching pattern of ECA, the commonest variation was the occurrence of linguofacial trunk (18%) and occipitiauricular trunk (4%). STA and lingual artery (LA) arose commonly from ECA in 71(71%) and 94 cases (94%) respectively. The origin of STA from ECA was statistically significant on left side (56.3%) compare to right (43.7%). Facial artery (FA), occipital artery (OA) and posterior auricular artery (PAA) arises as single branch and common trunk on right and left side. The accessory branches was observed to be present in total 3(3%) cases including 1(33.33%) on right and 2(66.66%) on left side. Conclusion: The present study revealed that the number of branches and branching pattern of ECA is variable and this variations do have a significant role in the various applications of anatomy of ECA for example in embolization, chemotherapy, cervical discectomy, thyroid surgeries etc.

scholarly journals Free flaps for head and neck cancer reconstruction: Does the use of both large cervical vessels as recipient vessels and the employment of end-to-side technique enhance flap survival?

2003 ◽  
Vol 11 (3) ◽  
pp. 141-142
Author(s):  
Fk Hashem
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flaps ◽  
External Carotid Artery ◽  
External Carotid ◽  
Flap Survival ◽  
Thrombosis Rate ◽  
Vessel Thrombosis ◽  
Salvage Rate

This study specifically investigates whether the use of both large cervical vessels (the external carotid artery and the internal jugular vein) as recipient vessels with end-to-side anastomosis enhance free flap survival in head and neck cancer reconstruction, when compared with the use of other standard smaller neck recipient vessels and end-to-end anastomosis. A total of 84 consecutive patients were included and were divided into two groups (42 in each group) according to the recipient vessels. The overall vessel thrombosis rate was 6% (five of 84 cases) and the overall flap loss rate was 2.4% (two of 84 cases) yielding a flap salvage rate of 60%. Vessel thrombosis occurred in three cases of the smaller vessels group and in two cases of the large cervical vessels group. This was not statistically significant.

scholarly journals Endovascular Embolization of Facial Artery Pseudoaneurysm following Lancing of a Subperiosteal Abscess: Case Report

2019 ◽  
Vol 3 (1) ◽  
pp. 18-26
Author(s):  
Andrii Hresko ◽  
Denys Chernohorskyi ◽  
Sergii Vereschahin ◽  
Andrii Kopchak
Keyword(s):  
Clinical Case ◽  
Treatment Approach ◽  
Endovascular Embolization ◽  
Facial Artery ◽  
External Carotid ◽  
Artery Pseudoaneurysm ◽  
Surgical Interventions ◽  
Traumatic Injuries ◽  
Subperiosteal Abscess ◽  
Choice Of Treatment

Pseudoaneurysms of the facial artery are the rare complications of traumatic injuries and surgical interventions in the area of head and neck. One of the vessels of the external carotid system, which suffers from this pathology most frequently, is the facial artery. The article describes a clinical case of the facial artery pseudoaneurysm, which was formed as a result of subperiosteal abscess lancing (synonym: periosteotomy) performed in the area of a tooth #36. The features of the clinical picture, diagnostic algorithms and the choice of treatment approach in such cases are discussed. The successful experience of angiography application and endovascular embolization of the facial artery in this patient is presented.

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