Diagnosis and Management of Traumatic Pseudoaneurysm of the Carotid Artery: Case Report and Review of the Literature

Magge, Deepa; Farber, Alik; Vladimir, Felix; Woodson, Jonathan; Collins, Kathryn S.; Shaw, Palma M.; Gibbons, G. W.

doi:10.2310/6670.2008.00047

Cited by 17 publications

(7 citation statements)

References 34 publications

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“…Traumatic carotid pseudoaneurysm (false aneurysm, collection of blood that forms between the tunica media and the tunica adventitia of an artery), as an insidious type of traumatic carotid artery injury, may accidentally occur after blunt/ penetrating trauma or iatrogenic injury (primitive driving force directly disrupted by foreign body puncture or shear stress from blunt trauma) 14) . Although traumatic carotid pseudoaneurysms are a particularly uncommon clinical condition, with a reported incidence of approximately 1% in trauma victims, sometimes it not only exposes the wounded to the risk of vascular occlusion or thromboembolism but also leads to rupture with intracranial hemorrhage or cervical compression 2) .…”

Section: Discussionmentioning

confidence: 99%

Covered Stenting Is an Effective Option for Traumatic Carotid Pseudoaneurysm with Promising Long-Term Outcome

Wang¹,

Peng

Liu³

et al. 2020

J Korean Neurosurg Soc

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Objective : Covered stenting is an optional strategy for traumatic carotid pseudoaneurysm, especially in malignant conditions of potential rupture, but the long-term outcomes are not clear. Our aim was to determine if covered stenting is an effective option for traumatic carotid pseudoaneurysm with promising long-term outcomes. Methods : Self-expanding Viabahn and balloon-expandable Willis covered stents were separately implanted for extra-and intracranial traumatic carotid pseudoaneurysm. The covered stent was placed across the distal and proximal pseudoaneurysm leakage under roadmap guidance. Procedural success was defined as technical success (complete exclusion of the pseudoaneurysm and patency of the parent artery) without a primary end point (any stroke or death within 30 days after the procedure). Longterm outcomes were evaluated as ischemic stroke in the territory of the qualifying artery by clinical follow-up through outpatient or telephone consultation and as the exclusion of the pseudoaneurysm and patency of the parent artery by imaging follow-up through angiography. Results : Five patients with traumatic carotid pseudoaneurysm who underwent covered stenting were enrolled. The procedural success rate was 100%. No ischemic stroke in the territory of the qualifying artery was recorded in any of the five patients during a mean clinical follow-up of 44±16 months. Complete exclusion of the pseudoaneurysm and patency of the parent artery were maintained in all five patients during a mean imaging follow-up of 39±16 months. Conclusion : Satisfactory procedural and long-term outcomes were obtained, suggesting that covered stenting is an effective option for traumatic carotid pseudoaneurysm.

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Section: Discussionmentioning

confidence: 99%

Covered Stenting Is an Effective Option for Traumatic Carotid Pseudoaneurysm with Promising Long-Term Outcome

Wang¹,

Peng

Liu³

et al. 2020

J Korean Neurosurg Soc

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“…Radiation-induced pseudoaneurysm or thrombosis of the carotid artery has been frequently reported, [13][14][15] but most of these publications are case reports. In our study, four (17%) patients showed pseudoaneurysm, but no patient had findings of vessel thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Transarterial Embolization for Control of Bleeding in Patients with Head and Neck Cancer

Chen

Lin

et al. 2010

Otolaryngol.--head neck surg.

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“…In humans, treatment options for carotid artery PA include observation in case of small lesions, surgical ligation with resection of the lesion and arterial reconstruction (Kraus et al 1999, Hertzer et al 2000, Saad et al 2005, Magge et al 2008. In a previous case report of PA in a cat after traumatic jugular venipuncture, PA resolved spontaneously (Townsell et al 2012).…”

Section: Discussionmentioning

confidence: 99%

Massive haemorrhage associated with inadvertent incision of a suspected carotid artery pseudoaneurysm in a cat

Pfaff

Rozanski

Lynch

2015

J of Small Animal Practice

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A 12-year-old, castrated male, domestic long-haired cat experienced massive haemorrhage associated with an incision of a swelling on the neck 2 weeks after right-sided ventral bulla osteotomy. Emergent control of haemorrhage was gained through unilateral carotid artery ligation. Cardiopulmonary resuscitation was provided in conjunction with massive blood transfusion. The cat made an unremarkable recovery. Carotid artery pseudoaneurysm due to surgical disruption of the carotid artery during ventral bulla osteotomy, specifically through the use of self-retaining retractors, was suspected. This case highlights the development of pseudoaneurysm as a potential complication of head and neck surgery, and additionally describes a case of massive transfusion in a cat.

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Diagnosis and Management of Traumatic Pseudoaneurysm of the Carotid Artery: Case Report and Review of the Literature

Cited by 17 publications

References 34 publications

Covered Stenting Is an Effective Option for Traumatic Carotid Pseudoaneurysm with Promising Long-Term Outcome

Covered Stenting Is an Effective Option for Traumatic Carotid Pseudoaneurysm with Promising Long-Term Outcome

Transarterial Embolization for Control of Bleeding in Patients with Head and Neck Cancer

Massive haemorrhage associated with inadvertent incision of a suspected carotid artery pseudoaneurysm in a cat

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