1. Endovascular Treatment of Internal Carotid Artery Pseudo-Aneurysm Presenting with Epistaxis
- Author
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Zlatko Hucika, Zdravka Poljaković, Antonija Mišmaš, Goran Pavliša, and Antonela Bazina
- Subjects
Male ,medicine.medical_specialty ,Ticlopidine ,Lumen (anatomy) ,Recurrence ,medicine.artery ,Humans ,Medicine ,cardiovascular diseases ,Endovascular treatment ,Aspirin ,business.industry ,Endovascular Procedures ,Angiography, Digital Subtraction ,Original Articles ,Middle Aged ,Pseudo aneurysm ,Clopidogrel ,Surgery ,surgical procedures, operative ,Epistaxis ,Treatment Outcome ,cardiovascular system ,Platelet aggregation inhibitor ,Stents ,endovascular treatment ,epistaxis ,internal carotid artery ,pseudo-aneurysm ,Radiology ,Internal carotid artery ,Carotid Artery Injuries ,business ,Carotid Artery, Internal ,Platelet Aggregation Inhibitors ,medicine.drug - Abstract
Recurrent epistaxis is a rare presentation of internal carotid artery C4/C5 segment pseudo-aneurysm rupture. We describe a case of a traumatic internal carotid artery pseudo-aneurysm with recurrent epistaxis as a leading symptom that was finally managed with endovascular treatment with stent-assisted coil placement. Clopidogrel and acetylsalicylic acid orally were introduced in the therapy for further stent thrombosis prevention and epistaxis did not recur on six-month follow-up. Endovascular treatment with stent-assisted coil placement seems to be a good method for pseudo-aneurysm treatment while keeping the lumen of the parent artery patent.
- Published
- 2014
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