scholarly journals Endovascular Treatment of Internal Carotid Artery Pseudo-Aneurysm Presenting with Epistaxis

2014 ◽  
Vol 20 (6) ◽  
pp. 743-745 ◽  
Author(s):  
Antonela Bazina ◽  
Antonija Mišmaš ◽  
Zlatko Hucika ◽  
Goran Pavliša ◽  
Zdravka Poljaković
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Internal Carotid ◽  
Good Method ◽  
Aneurysm Rupture ◽  
Parent Artery ◽  
Rare Presentation ◽  
Recurrent Epistaxis ◽  
Pseudo Aneurysm

Recurrent epistaxis is a rare presentation of internal carotid artery C4/C5 segment pseudo-aneurysm rupture. We describe a case of a traumatic internal carotid artery pseudo-aneurysm with recurrent epistaxis as a leading symptom that was finally managed with endovascular treatment with stent-assisted coil placement. Clopidogrel and acetylsalicylic acid orally were introduced in the therapy for further stent thrombosis prevention and epistaxis did not recur on six-month follow-up. Endovascular treatment with stent-assisted coil placement seems to be a good method for pseudo-aneurysm treatment while keeping the lumen of the parent artery patent.

scholarly journals Endovascular Treatment of a High-Flow Direct Traumatic Carotid Cavernous Fistula with a Two Year Follow-up

2008 ◽  
Vol 14 (3) ◽  
pp. 297-301 ◽  
Author(s):  
C. Fang
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Internal Carotid ◽  
Severe Trauma ◽  
High Flow ◽  
Parent Artery ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Pseudo Aneurysm

Endovascular treatment of high-flow direct traumatic carotid cavernous fistula (CCF) carries many difficulties. One of them is that carotid dissection may be associated with pseudo-aneurysm formation even when the CCF can be successfully embolized by detachable balloons. This article details a unique technique of treating pseudo-aneurysm by obstructing the lumen with preservation of the parent artery. The case presented here involves a 50-year-old man with a history of severe trauma. The angiography revealed that his bilateral high-flow carotid cavernous fistula was successfully embolized by detachable balloons and control digital subtraction angiography at the end of the procedure demonstrated the fistula closed and the internal carotid artery preserved. But two months later, a pseudo-aneurysm formed in the right internal carotid artery. Under endovascular treatment along with other techniques including coils, stent-assisted and covered stent, the pseudo-aneurysm was excluded with preserved ICA. Two years later, the fistula and pseudo-aneurysm both disappeared quietly without patent foreign body reaction in the parent arterial wall.

scholarly journals Endovascular Treatment of a Giant Dissecting Aneurysm in an Infant

2018 ◽  
Vol 37 (03) ◽  
pp. 217-222
Author(s):  
Luana Gatto ◽  
Adriel Barro ◽  
Rafaella Tacla ◽  
Zeferino Demartini ◽  
Gelson Koppe
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Internal Carotid ◽  
Therapeutic Option ◽  
Pediatric Population ◽  
Neurological Deficits ◽  
Parent Artery ◽  
Endovascular Approach ◽  
The Right

Introduction The incidence of intracranial aneurysms in the pediatric population is low, and endovascular treatment is becoming a safe and minimally invasive treatment option. In the present study, the occurrence of special features of cerebral aneurysm in children, in comparison to adults, is also described. Case Report A 3-month-old female infant presented with progressive proptosis and divergent strabismus at the right eye, in addition to inconsolable crying. Cerebral resonance, angiotomography and angiography exams demonstrated angiodysplasia in the right internal carotid artery with two large paraclinoid dissecting aneurysms with wide neck. The right internal carotid artery was occluded with coils by endovascular approach, without detriment to the perfusion of the ipsilateral hemisphere and without neurological deficits. The patient achieved good recovery, and a late control angiotomography confirmed the exclusion of the aneurysms. Conclusion Parent artery sacrifice via endovascular approach is an effective therapeutic option, but a long-term follow-up is necessary to avoid recurrence and bleeding.

scholarly journals Internal Carotid Artery Blister Aneurysm: Review of Endovascular Techniques

2021 ◽  
Author(s):  
Vipul Gupta ◽  
Shrikant Londhe ◽  
Rajsrinivas Parthasarathy
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Internal Carotid ◽  
Flow Diverter ◽  
Surgical Approaches ◽  
Parent Artery ◽  
Histopathological Analysis ◽  
Special Focus ◽  
High Morbidity

AbstractCerebral blister aneurysms are very difficult vascular lesions in terms of accurate diagnosis as well as proper management strategy for vascular neurosurgeons and neurointerventionists. Histopathological analysis has revealed their nature to be more akin to pseudoaneurysms in comparison to the typical berry aneurysms. This explains their fragile nature, with high probability of rerupture and regrowth during the follow-up if not addressed properly. Even though surgical approaches have evolved over the years to minimize intraprocedural rupture and recurrence, they still have relatively high morbidity as well as mortality in comparison to endovascular treatment. Over the last few years, endovascular treatment has evolved significantly, with introduction of new devices and techniques. Focus of the endovascular management has shifted from the deconstructive techniques to reconstructive ones with parent artery preservation. Recent introduction of flow diverter technology has enabled neurointerventionists to manage these difficult lesions with more confidence in terms of avoiding rerupture and recurrence. Flow diverter (FD) use in blister aneurysm resulted in high-technical success, complete aneurysm occlusion, and less complications in comparison to other reconstructive techniques like simple coiling, stent assisted coiling, and overlapping/monotherapy stent placement. Few debatable issues like use of dual antiplatelets in the setting of acute subarachnoid hemorrhage (SAH), timing of drugs in relation to procedures, single/overlapping devices, and concerns during cerebral vasospasm phase need further detailed analysis and standardized protocols. In this article, we have done a review of different endovascular treatment options in the management of internal carotid artery blister aneurysms with special focus on FD and issues related to it.

scholarly journals Severe Recurrent Epistaxis Due to Ruptured Non-Traumatic Aneurysm of The Internal Carotid Artery

1978 ◽  
Vol 71 (4) ◽  
pp. 355-362 ◽  
Author(s):  
Makoto Sakatsume ◽  
Akira Kikuta ◽  
Isao Yoshida ◽  
Yoshitsugu Ogawa ◽  
Shigeo Ise
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Traumatic Aneurysm ◽  
Recurrent Epistaxis

scholarly journals Ruptured Petrous Carotid Pseudoaneurysm Due to Tuberculous Otitis: Endovascular Treatment

2006 ◽  
Vol 12 (1) ◽  
pp. 53-56 ◽  
Author(s):  
A.B. Yagci ◽  
F.N. Ardiç ◽  
I. Oran ◽  
F. Bir ◽  
N. Karabulut
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Unusual Case ◽  
Internal Carotid ◽  
Surgical Intervention ◽  
Imaging Findings ◽  
Parent Vessel ◽  
Detachable Balloon ◽  
Artery Pseudoaneurysm

We report the imaging findings and endovascular treatment in an unusual case of petrous internal carotid artery pseudoaneurysm due to primary tuberculous otitis. The aneurysm was recognized and ruptured during a surgical intervention for otitis. Successful endovascular treatment of the aneurysm was performed by occlusion of the parent vessel using detachable balloon and coils.

scholarly journals Enlarged Parent Artery Lumen at Aneurysmal-Neck Segment in Wide-Necked Distal Internal Carotid Artery Aneurysms

2015 ◽  
Vol 10 (2) ◽  
pp. 82 ◽  
Author(s):  
Jong Won Lee ◽  
Jung Min Woo ◽  
Ok Kyun Lim ◽  
Ye-eun Jo ◽  
Jae Kyun Kim ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Parent Artery ◽  
Distal Internal Carotid Artery ◽  
Aneurysmal Neck
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