SavedAdd your journal

Journals / Turkish Neurosurgery / 2013 / Cilt: 23 - Sayı: 6

Temel Olarak Tekrarlanan Epistaksisle Ortaya Çıkan Travmatik İnternal Karotid arter Psödoanevrizmasının Tanı ve Tedavisi

Diagnosis and treatment of traumatic Internal Carotid Artery Pseudoaneurysm Primarily Manifested by Repeated Epistaxis

Gang CHEN
Jun LI
Guozheng XU
Shangzhen QIN
Jie GONG
Ming YANG
Li PAN
Ge ZHANG
Lianting MA
Pages
716–720
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Compared with internal carotid artery occlusion with balloons, covered stent implantation is a more valuable endovascular intervention method.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:AIM: The current study aims to explore the diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm (TICAP) primarily manifested by repeated epistaxis.
📊
Key Findings & Data:MATERIAL and METHODS: Clinical data from 31 patients suffering from repeated epistaxis after trauma were retrospectively analyzed.
💡
Conclusion & Impact:Compared with internal carotid artery occlusion with balloons, covered stent implantation is a more valuable endovascular intervention method.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

AIM: The current study aims to explore the diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm (TICAP) primarily manifested by repeated epistaxis. MATERIAL and METHODS: Clinical data from 31 patients suffering from repeated epistaxis after trauma were retrospectively analyzed. All patients were diagnosed definitely with pseudoaneurysm at the internal carotid cavernous sinus segment by digital subtract angiography (DSA). results: Endovascular interventional therapy was performed for all the patients. 20 patients received direct occlusion of the parent artery by embolization with detachable balloons and the rest received covered stent implantation to cover the parent arterial tear. No death occurred. Epistaxis did not recur after operation. CONCLUSION: DSA is the gold standard for TICAP diagnosis. Endovascular interventional therapy is the treatment of choice for TICAP. Compared with internal carotid artery occlusion with balloons, covered stent implantation is a more valuable endovascular intervention method.

Özet

AMAÇ: Bu çalışma temel olarak tekrarlanan epistaksisle ortaya çıkan travmatik internal karotid arter psödoanevrizmasının (TİKAP) tanı ve tedavisini incelemeyi amaçlamaktadır. YÖNTEM ve GEREÇLER: Travma sonrasında tekrarlanan epistaksisi olan 31 hastanın klinik verileri retrospektif olarak analiz edildi. Tüm hastalara dijital subtraksiyon anjiyografisi (DSA) yoluyla internal karotid kavernöz sinüs segmentinde psödoanevrizma şeklinde kesin tanı kondu. BULGULAR: Endovasküler girişimsel tedavi tüm hastalarda yapıldı. 20 hastada ayrılabilir balonlarla embolizasyon yoluyla ana arterde doğrudan oklüzyon yapılırken diğerlerinde ana arteriyel yırtığı örtmek üzere örtülü stent implantasyonu yapıldı. Herhangi bir ölüm olmadı. Ameliyattan sonra epistaksis tekrarlamadı. SONUÇ: TİKAP tanısı için altın standart DSAdır. Endovasküler girişimsel tedavi TİKAP için tercih edilen tedavidir. Balonlarla yapılan internal karotid arter oklüzyonuyla karşılaştırıldığında, örtülü stent implantasyonu daha değerli bir endovasküler girişim yöntemidir.

🔖

Cite This Article

CHEN, G., LI, J., XU, G., QIN, S., GONG, J., YANG, M., PAN, L., ZHANG, G., MA, L. (2013). Temel Olarak Tekrarlanan Epistaksisle Ortaya Çıkan Travmatik İnternal Karotid arter Psödoanevrizmasının Tanı ve Tedavisi. Turkish Neurosurgery, Cilt: 23 - Sayı: 6, 716–720. https://ajindex.com/articles/404945

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Akiyama Y, Nakahara I, Tanaka M, Iwamuro Y, Hayashi J, Harada K, Fujimoto M: Urgent endovascular stent-graft placement for a ruptured traumatic pseudoaneurysm of the extracranial carotid artery. J Trauma 58: 624-627, 2005 2. Alvernia JE, Patel RN, Cai DZ, Dang N, Anderson DW, Melgar M: A successful combined endovascular and surgical treatment of a cranial base mucormycosis with an associated internal carotid artery pseudoaneurysm. Neurosurgery 65: 733-740, 2009 3. Baker AC, Arko FR 3rd, Zarins CK, Lee ES: Management of a chronic carotid artery pseudoaneurysm. Vasc Endovascular Surg 44: 61-63, 2010 4. Cappabianca P, Briganti F, Cavallo LM, de Divitiis E: Pseudoan- eurysm of the intracavernous carotid artery following endo- scopic endonasal transsphenoidal surgery, treated by endo- vascular approach. Acta Neurochir (Wien) 143: 95-96, 2001 5. Chen D, Concus AP, Halbach VV, Cheung SW: Epistaxis originating from traumatic pseudoaneurysm of the internal carotid artery: Diagnosis and endovascular therapy. Laryngoscope 108: 326-331, 1998 6. DeFatta RJ, Verret DJ, Bauer P: Extracranial internal carotid artery pseudoaneurysm. Int J Pediatr Otorhinolaryngol 69: 1135-1139, 2005 7. Fusonie GE, Edwards JD, Reed AB: Covered stent exclusion of blunt traumatic carotid artery pseudoaneurysm: Case report and review of the literature. Ann Vasc Surg 18: 376-379, 2004 8. Han MH, Sung MW, Chang KH, Min YG, Han DH, Han MC: Traumatic pseudoaneurysm of the intracavernous ICA presenting with massive epistaxis: imaging diagnosis and endovascular treatment. Laryngoscope 104: 370-377, 1994 9. Hern JD, Coley SC, Hollis LJ, Jayaraj SM: Delayed massive epistaxis due to traumatic intracavernous carotid artery pseudoaneurysm. J Laryngol Otol 112: 396-398, 1998 10. Hertzanu Y, Hirsch M, Tovi F: Pseudoaneurysm of internal carotid artery secondary to tonsillectomy: combined radiologic and surgical treatment. Cardiovasc Intervent Radiol 10: 147-149, 1987 11. Iguchi H, Takayama M, Kusuki M, Nakamura A, Kanazawa A, Hachiya K, Yamane H: Carotid artery pseudoaneurysm as a rare sequela of surgery for laryngeal cancer. Acta Otolaryngol 126: 557-560, 2006 12. Kadyrov NA, Friedman JA, Nichols DA, Cohen-Gadol AA, Link MJ, Piepgras DG: Endovascular treatment of an internal carotid artery pseudoaneurysm following transsphenoidal surgery. Case report. J Neurosurg 96: 624-627, 2002 13. Loffroy R, Gergele F, Rao P, Geschwind JF: Endovascular management of a posttraumatic pseudoaneurysm of the common carot