Successful endoluminal reconstruction of a pseudoaneurysm of the internal carotid artery following a transorbital stab injury.
Adult
Angiography, Digital Subtraction
Blindness
/ etiology
Carotid Artery Injuries
/ etiology
Carotid Artery, Internal
Female
Glasgow Coma Scale
Humans
Neurosurgical Procedures
/ methods
Orbit
/ injuries
Treatment Outcome
Unconsciousness
/ etiology
Vascular Surgical Procedures
/ methods
Wounds, Stab
/ complications
Endoluminal reconstruction
Flow diversion
ICA aneurysm
Pseudoaneurysm
Traumatic aneurysm
Journal
Clinical neurology and neurosurgery
ISSN: 1872-6968
Titre abrégé: Clin Neurol Neurosurg
Pays: Netherlands
ID NLM: 7502039
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
03
03
2020
revised:
03
04
2020
accepted:
04
04
2020
pubmed:
20
4
2020
medline:
11
6
2021
entrez:
20
4
2020
Statut:
ppublish
Résumé
Traumatic penetrating injuries to the internal carotid artery (ICA) resulting in the formation of a traumatic pseudoaneurysm are potentially devastating injuries. Previously treatment included, open surgical occlusion of the affected vessel or endovascular embolization. However, with the advent of flow diverter stents, endoluminal reconstruction has become a viable treatment option. In this case report we describe the successful managment of an ICA pseudoaneurysm due to a transorbital stab injury. Endoluminal reconstruction in a traumatic aneurysm is a feasible option. Considering the risk of hemorrhagic complications due to dual antiplatelet therapy required after flow diverter placement, this treatment should only be chosen if insufficient collateral supply is found and occlusion of the affected vessel is not a viable option.
Identifiants
pubmed: 32305824
pii: S0303-8467(20)30181-5
doi: 10.1016/j.clineuro.2020.105838
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
105838Informations de copyright
Copyright © 2020. Published by Elsevier B.V.