Traumatic pseudoaneurysm of the superficial temporal artery

Aneurysms of the superficial temporal artery are relatively rare vascular complications following trauma. Two cases of pseudoaneurysm of the anterior branch of the superficial temporal artery, subjected to blunt maxillofacial trauma are presented here. The first case was treated by surgical resection and the second was cured by application of continuous pressure. The review of the English literature has also been included. An awareness of these vascular injuries, despite their infrequency, is necessary to facilitate early diagnosis, proper investigation and prompt treatment.

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Giant Post-Traumatic Pseudoaneurysm of the Superficial Temporal Artery

Annals of Vascular Surgery ◽

10.1016/j.avsg.2020.07.057 ◽

2021 ◽

Vol 70 ◽

pp. 566.e11-566.e14

Author(s):

Luca Apruzzi ◽

Matteo Bossi ◽

Carlotta Bugna ◽

Luca Bertoglio ◽

Roberto Chiesa

Keyword(s):

Superficial Temporal Artery ◽

Temporal Artery ◽

Traumatic Pseudoaneurysm ◽

Post Traumatic

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Management dilemmas of traumatic pseudoaneurysm of superficial temporal artery

Neurology India ◽

10.4103/0028-3886.178055 ◽

2016 ◽

Vol 64 (7) ◽

pp. 120 ◽

Cited By ~ 1

Author(s):

Ashish Kumar ◽

Omekar Rambarki ◽

Aniruddh Purohit

Keyword(s):

Superficial Temporal Artery ◽

Temporal Artery ◽

Traumatic Pseudoaneurysm

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Iatrogenic Vascular Complications Associated With External Ventricular Drain Placement: A Report of 8 Cases and Review of the Literature

Operative Neurosurgery ◽

10.1227/neu.0b013e318279e783 ◽

2012 ◽

Vol 72 (2) ◽

pp. ons208-ons213 ◽

Cited By ~ 2

Author(s):

Jennifer Kosty ◽

Bryan Pukenas ◽

Michelle Smith ◽

Phillip B. Storm ◽

Eric Zager ◽

...

Keyword(s):

Transarterial Embolization ◽

External Ventricular Drain ◽

Superficial Temporal Artery ◽

Vascular Complications ◽

Temporal Artery ◽

Vascular Trauma ◽

Vascular Lesions ◽

Ventricular Catheter ◽

Traumatic Aneurysm ◽

Arteriovenous Fistulas

Abstract BACKGROUND: Placement of an external ventricular drain (EVD) is a commonly performed and often lifesaving procedure. Although hemorrhage is one of the commonest complications associated with the procedure, ventricular catheter–induced vascular injury is rarely reported. OBJECTIVE: To describe 9 cases of EVD-related vascular trauma: 7 arteriovenous fistulas and 2 traumatic aneurysms. METHODS: During a 3-year period, 299 patients had EVDs placed. Eight patients (2.75%), 3 male and 5 female (mean age, 48 ± 20 years), developed vascular lesions associated with EVDs. Six patients developed arteriovenous fistulas and 2 patients developed a traumatic aneurysm. The arterial feeders of 5 superficial draining fistulas arose from the middle meningeal artery, and the arterial feeder of a deep-draining fistula originated from a lenticulostriate artery. One traumatic aneurysm arose from a distal branch of the anterior cerebral artery, and the second from a branch of the superficial temporal artery. Four of the superficial fistulas were treated with transarterial embolization. RESULTS: Two superficial fistulas and the deep-draining fistula resolved spontaneously after EVD removal. The intracranial aneurysm was embolized with Onyx18, and the superficial temporal artery aneurysm was managed conservatively. There were no hemorrhages associated with any of these vascular lesions and no complications after treatment. CONCLUSION: Our data suggest that iatrogenic vascular trauma associated with EVD insertions (2.75%) may be more common than is currently appreciated. Endovascular treatment is effective and may be necessary when these lesions do not resolve spontaneously.

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Traumatic pseudoaneurysm of superficial temporal artery

The American Journal of Surgery ◽

10.1016/j.amjsurg.2009.03.022 ◽

2010 ◽

Vol 199 (1) ◽

pp. e1-e2 ◽

Cited By ~ 16

Author(s):

Naoto Fukunaga ◽

Mami Hanaoka ◽

Noritaka Masahira ◽

Tetsuya Tamura ◽

Hirofumi Oka ◽

...

Keyword(s):

Superficial Temporal Artery ◽

Temporal Artery ◽

Traumatic Pseudoaneurysm

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Treatment of aneurysms by excision or trapping with arterial reimplantation or interpositional grafting

Journal of Neurosurgery ◽

10.3171/jns.1996.85.1.0178 ◽

1996 ◽

Vol 85 (1) ◽

pp. 178-185 ◽

Cited By ~ 34

Author(s):

Sang Youl Lee ◽

Laligam N. Sekhar

Keyword(s):

Superficial Temporal Artery ◽

Posterior Inferior Cerebellar Artery ◽

Giant Aneurysm ◽

Temporal Artery ◽

Left Vertebral Artery ◽

Anterior Inferior Cerebellar Artery ◽

Content Type ◽

First Case ◽

Cerebellar Artery ◽

Fine Print

✓ The authors report three cases of ruptured, large or giant aneurysms that were treated by excision or trapping, followed by revascularization of distal vessels by means of arterial reimplantation or superficial temporal artery interpositional grafting. In the first case, a large serpentine aneurysm arising from the anterior temporal branch of the right middle cerebral artery (MCA) was excised and the distal segment of the anterior temporal artery was reimplanted into one of the branches of the MCA. In the second case, a giant aneurysm, fusiform in shape, arose from the rolandic branch of the MCA. This aneurysm was totally excised and the M3 branch in which it had been contained was reconstructed with an arterial interpositional graft. In the third case the patient, who presented with a subarachnoid hemorrhage, had a dissecting aneurysm that involved the distal portion of the left vertebral artery. In this case the posterior inferior cerebellar artery (PICA) arose from the wall of the aneurysm and coursed onward to supply the brainstem. This aneurysm was managed by trapping and the PICA was reimplanted into the ipsilateral large anterior inferior cerebellar artery. None of the patients suffered a postoperative stroke and all recovered to a good or excellent postoperative condition. These techniques allowed complete isolation of the aneurysm from the normal blood circulation and preserved the blood flow through the distal vessel that came out of the aneurysm. These techniques should be considered as alternatives when traditional means of cerebral revascularization are not feasible.

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Treatment of fusiform aneurysms of the peripheral cerebral arteries

Journal of Neurosurgery ◽

10.3171/jns.1978.49.2.0272 ◽

1978 ◽

Vol 49 (2) ◽

pp. 272-277 ◽

Cited By ~ 15

Author(s):

Vinko Dolenc

Keyword(s):

Cerebral Arteries ◽

Superficial Temporal Artery ◽

Temporal Artery ◽

Arterial Graft ◽

Left Middle Cerebral Artery ◽

Fusiform Aneurysm ◽

Carotid Angiography ◽

Content Type ◽

First Case ◽

Left Middle

✓ Two patients with fusiform aneurysms and at least one previous subarachnoid hemorrhage were treated by excision of the aneurysms and reconstruction of the arteries. The first case presented with two fusiform aneurysms, the larger of which involved the angular and the smaller one the temporal branch of the left middle cerebral artery (MCA). Both aneurysms were totally excised. The angular artery was reconstructed with a 1.5 cm long arterial graft taken from the left superficial temporal artery. Excision of the temporal aneurysm was followed by an end-to-end suture of the central and distal parts of the vessel. The second case had a fusiform aneurysm involving the temporal branch of the left MCA. The aneurysm was excised and an arterial graft 1 cm long cut from the superficial temporal artery was used in reconstruction of the affected vessel. In each case left carotid angiography was done 1 week postoperatively. In the first case the angiogram showed that the angular artery reconstructed with a graft was patent, whereas the temporal artery reconstructed without a graft was not visualized. In the second patient, whose temporal artery was reconstructed with a graft, angiography did not show the reconstructed artery. Left carotid angiography was repeated 1 year after the operation in both cases, and all the reconstructed vessels were well visualized.

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