scholarly journals Endovascular Treatment to Stop Life-threatening Bleeding from Branches of the External Carotid Artery in Patients with Traumatic Maxillofacial Fracture

2016 ◽  
Vol 18 (2) ◽  
pp. 83
Author(s):  
Woosung Lee ◽  
Yu Shik Shim ◽  
Joonho Chung
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
External Carotid Artery ◽  
External Carotid ◽  
Maxillofacial Fracture ◽  
Life Threatening

Giant life-threatening external carotid artery pseudoaneurysm caused by a mandibular condylar fracture

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
Keyword(s):  
Carotid Artery ◽  
External Carotid Artery ◽  
External Carotid ◽  
Condylar Fracture ◽  
Artery Pseudoaneurysm ◽  
Life Threatening

Fulminant post-tonsillectomy haemorrhage caused by aberrant course of the external carotid artery

2005 ◽  
Vol 119 (8) ◽  
pp. 655-657 ◽  
Author(s):  
Rutger Hofman ◽  
Clark J Zeebregts ◽  
Frederik G Dikkers
Keyword(s):  
Carotid Artery ◽  
Surgical Intervention ◽  
External Carotid Artery ◽  
External Carotid ◽  
Throat Pain ◽  
Life Threatening ◽  
Secondary Haemorrhage

Haemorrhage, throat pain and otalgia are common complications following tonsillectomy. Haemorrhage is rarely life-threatening but in this paper we describe a fulminant secondary haemorrhage due to an aberrant external carotid artery in an eight-year-old boy. Acute surgical intervention with ligation of the external carotid artery was needed to control the bleeding.

scholarly journals Spontaneous Aneurysm of External Carotid Artery: Management and Complications

2018 ◽  
Vol 4 (02) ◽  
pp. 081-084
Author(s):  
Pankaj Banode ◽  
Abhinav A. Mohan ◽  
Shishir Ravekar ◽  
Priyanka Banode ◽  
Pushan Sharma
Keyword(s):  
Carotid Artery ◽  
Artery Aneurysm ◽  
External Carotid Artery ◽  
Laryngeal Edema ◽  
External Carotid ◽  
Extracranial Carotid Artery ◽  
Mortality And Morbidity ◽  
Carotid Artery Aneurysm ◽  
Life Threatening ◽  
Large Aneurysm

AbstractExtracranial carotid artery aneurysm is a rare vascular disease in the neck with variable presentation. Aneurysms are associated with significant mortality and morbidity and are associated with fatal complication secondary to spontaneous rupture or tracheal compression or laryngeal edema and distal embolization. A 43-year-old male patient presented with large aneurysm arising from proximal common carotid artery (CCA) causing tracheal obstruction leading to life-threatening respiratory symptoms. The endovascular interventional management is an emerging alternative for surgical option and providing promising results with almost similar safety and efficacy. Endovascular management of an extracranial carotid artery aneurysm using stent graft is minimally invasive and effective.

scholarly journals Angiographic Evaluation and Endovascular Treatment Considerations of Brain Arteriovenous Malformations With a Transdural Blood Supply: A Single-Center Experience

2021 ◽  
Vol 11 ◽  
Author(s):  
Kun Hou ◽  
Kan Xu ◽  
Lai Qu ◽  
Guichen Li ◽  
Yunbao Guo ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Blood Supply ◽  
Arteriovenous Malformations ◽  
External Carotid Artery ◽  
External Carotid ◽  
Brain Arteriovenous Malformations ◽  
Single Center Experience ◽  
Scale Scores ◽  
Treatment Considerations

Background: In rare circumstances, brain arteriovenous malformations (BAVMs) can recruit a transdural blood supply (TBS). The clinical and radiologic characteristics of BAVMs with a TBS are poorly understood.Methods: A retrospective review of the medical records was conducted for adult patients who were admitted for BAVMs from Jan 2013 to Dec 2019. TBSs for BAVMs were divided into 3 types: (1) unilateral TBSs from the external carotid artery (ECA) and/or meningeal branch of the vertebral artery (VA); (2) bilateral TBSs from the ECA and/or meningeal branch of the VA; and (3) meningohypophyseal trunk TBSs of the internal carotid artery.Results: Four hundred and twenty-eight patients were diagnosed with BAVMs during the study period, of whom 30 (7.0%, 30/428) were identified as having a TBS. Type 1, type 2, and type 3 TBSs were identified in 21 (70%, 21/30), 7 (23.3%, 7/30), and 2 (6.7%, 2/30) patients, respectively. Six (20%, 6/30) patients were conservatively managed. Twelve (40%, 12/30) patients underwent endovascular treatment (EVT) of the BAVM through non-TBS feeders. Eight (26.8%, 8/30) patients underwent EVT of the BAVM both through the TBS and non-TBS feeders. The modified Rankin Scale scores at the 3-month follow-up were 0, 1, 2, 4, and 5 in 24 (80%, 24/30), 2 (6.7%, 2/30), 2 (6.7%, 2/30), 1 (3.3%, 1/30), and 1 (3.3%, 1/30) patients, respectively. Good short-term recovery was achieved in 86.7% (26/30) of the patients. The size of the BAVMs with a TBS was larger than that of BAVMs without a TBS. Patients with higher Spetzler-Martin grades tended to have a TBS. No statistical difference was noted between the patients with and without a TBS with regard to age, sex, location, or concurrent aneurysms.Conclusions: This study showed that a TBS was likely to develop in patients with larger BAVMs and that a TBS was likely to be located in the temporal lobe in patients BAVMs with higher SM grades. Weak structures were the primary targets of management. In addition, a BAVM could be embolized via the TBS.

scholarly journals Intervening in the Acute Phase of Postradiation Carotid Blowout Syndrome

2019 ◽  
Vol 23 (02) ◽  
pp. 172-177 ◽  
Author(s):  
Marrigje A. de Jong ◽  
Carlos Candanedo ◽  
Menachem Gross ◽  
José E. Cohen
Keyword(s):  
Carotid Artery ◽  
Endovascular Procedures ◽  
Palliative Therapy ◽  
Surgical Excision ◽  
External Carotid Artery ◽  
External Carotid ◽  
Covered Stents ◽  
Carotid Blowout Syndrome ◽  
Life Years ◽  
Life Threatening

Introduction Acute carotid blowout syndrome (aCBS) is a severe complication of head and neck cancer (HNC). It can be defined as a rupture of the extracranial carotid arteries, or one of their branches, that causes life-threatening hemorrhage, and which nowadays can be treated with urgent endovascular intervention. Objective We retrospectively evaluate the endovascular management of aCBS and its outcome in years of survival. Methods Retrospectively, we describe our experience with endovascular control of aCBS in patients treated for HNC. We review the characteristics, pathology, endovascular treatment and morbidity and assess the gain in life years. Results Nine individuals were included in this study. Four patients had been previously diagnosed with laryngeal squamous cell carcinoma (SCC), one with paranasal SCC, one with nasopharyngeal carcinoma and three with oral or maxillary adenocarcinoma. All subjects underwent radiotherapy and surgical excision to different extents. Twelve endovascular procedures were performed for injuries to the internal carotid artery (n = 3; 25%), external carotid artery (n = 1; 7%) or one of their branches (n = 8; 67%). Deconstructive methods were used in nine procedures, and three procedures were mainly reconstructive with deployment of covered stents. Total control of bleeding was achieved in all individuals with no intraprocedural complications. Conclusion Endovascular therapy is an effective alternative for the management of exsanguinating CBS. In our series, this palliative therapy increased the overall patient survival by an estimated 9 months.

Case Report: Life Threatening Bleeding following Maxillofacial Injury

2002 ◽  
Vol 9 (1) ◽  
pp. 42-45
Author(s):  
Kl Tsui ◽  
Hh Yau ◽  
Cw Kam
Keyword(s):  
Emergency Medicine ◽  
Carotid Artery ◽  
Haemorrhagic Shock ◽  
External Carotid Artery ◽  
External Carotid ◽  
Airway Compromise ◽  
Carotid Angiography ◽  
Maxillofacial Injury ◽  
Severe Haemorrhage ◽  
Life Threatening

Maxillofacial injury is commonly seen in the practice of emergency medicine. Major maxillofacial injury itself can be life threatening. Apart from the danger of potential airway compromise, severe haemorrhage from branches of carotid artery causing haemorrhagic shock can occur. Blind techniques, such as packing or ligation of external carotid artery are the usual methods employed to stop the bleeding. However blind techniques carry a significant failure rate. A patient with severe maxillofacial injury and torrential haemorrhage is reported. The bleeding could not be controlled by oral and nasal packing. Emergency selective carotid angiography was performed to identify the source of bleeding and embolization of the bleeding branches successfully arrested the haemorrhage. Interventional radiology could be as effective, if not superior, as an operation in controlling bleeding in selective cases.

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