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carotid pseudoaneurysm

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https://www.readbyqxmd.com/read/28394836/18f-fdg-pet-ct-of-tuberculosis-meningitis-and-carotid-pseudoaneurysm
#1
Kasturi Rangan, Mudalsha Ravina, Nitin Yadav, Ajay Singh Suraj, Sanjay Gambhir
A 26-year-old woman presented with a headache, left-sided weakness of the body, and pulsatile swelling above the sternal notch. She was treated for abdominal tuberculosis in the past, two years later she developed miliary tuberculosis and was put on modified regimen of antitubercular drugs in view of drug induced hepatitis. Ultrasound neck revealed saccular aneurysm measuring 4 x 3 cm, located in between common carotid arteries with an eccentric thrombus. MRI brain revealed multiple tuberculoma with thick basal meningeal enhancement...
April 7, 2017: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/28391020/ruptured-aneurysm-of-an-aberrant-internal-carotid-artery-successfully-treated-with-simultaneous-intervention-and-surgery-in-a-hybrid-operating-room
#2
Yoichiro Kawamura, Tetsuro Sayama, Naoki Maehara, Ataru Nishimura, Koji Iihara
BACKGROUND: Aberrant internal carotid artery (aICA) is an anatomical anomaly whereby the internal carotid artery (ICA) courses through the tympanic cavity without separation by bone. Since aICA is rare, there are no definite treatment strategies for aICA and its complications. CASE DESCRIPTION: We report a case of aICA accompanied by pseudoaneurysm formation and massive bleeding. Our case was a 31-year-old woman with a 2-year history of hearing loss, ear fullness, and pulsatile tinnitus in her left ear...
April 5, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28385501/percutaneous-embolization-of-delayed-external-carotid-artery-pseudoaneurysm-eight-years-after-partial-parathyroidectomy
#3
Antonella Laurito, Holta Kasemi, Andrea Monti, Mauro Maselli, Paola Manzo, Valeria Tavolini, Andrea Gaggiano
External carotid artery pseudoaneurysm (ECAP) is very rare. The usual mechanism is trauma or iatrogenic. We report a case of a patient with an asymptomatic, chronic ECAP secondary to partial parathyroidectomy. Percutaneous injection of the two-component Fibrin Sealant (Tisseel, Baxter int., Deerfield, IL) with the two active ingredients (Sealer Protein Solution and Thrombin Solution) was carried out with successful occlusion of the pseudoaneurysmal sac. The six-month follow up CT scan confirmed the ECAP thrombosis...
April 3, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28356671/brachial-plexus-compression-due-to-subclavian-artery-pseudoaneurysm-from-internal-jugular-vein-catheterization
#4
T N Mol, A Gupta, U Narain
Internal jugular vein (IJV) catheterization has become the preferred approach for temporary vascular access for hemodialysis. However, complications such as internal carotid artery puncture, vessel erosion, thrombosis, and infection may occur. We report a case of brachial plexus palsy due to compression by right subclavian artery pseudoaneurysm as a result of IJV catheterization in a patient who was under maintenance hemodialysis.
March 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28328693/a-giant-pseudoaneurysm-mimicking-retropharyngeal-abscess-in-a-child
#5
Rijuneeta Gupta, Sourabha K Patro, Neha Chauhan, Ajay Kumar
Pseudoaneurysms of the cervical internal carotid artery are rare and usually result from trauma, infection, or rarely spontaneously. They harbor potential risk of life-threatening hemorrhage and warrant immediate management. Endovascular treatment in the form of stent placement and coiling is a well established technique for dealing with both intracranial and extracranial pseudoaneurysms. We present a case of a child who presented with fever, neck swelling, dysphagia, and respiratory distress in emergency for which clinical diagnosis of a neck abscess was made...
March 21, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28303209/mixed-aneurysm-a-new-proposed-nomenclature-for-a-rare-condition
#6
Cassiano U Crusius, Paulo Henrique P de Aguiar, Marcelo U Crusius
BACKGROUND: Mixed intracranial aneurysms are vascular lesions appearing in the ruptured saccular aneurysms whose blood is contained by perivascular tissues forming another cavity called pseudoaneurysm. All cases until now have been reported in the literature with subarachnoid hemorrhage. CASE DESCRIPTION: A 65-year-old woman presented with multiple brain aneurysms with no history of subarachnoid hemorrhage. Endovascular treatment was chosen for left-sided aneurysms [lateral carotid wall (LCW) and posterior communicating (PCom)]...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28300709/delayed-carotid-pseudoaneurysms-from-iatrogenic-clival-meningeal-branches-avulsion-recognition-and-proposed-management
#7
Rami Almefty, Ian F Dunn, Muhammad Ali Aziz-Sultan, Ossama Al-Mefty
Carotid injury during anterior skull base approaches is promptly recognizable and mandates immediate treatment; likewise, development of pseudoaneurysms after such injuries is anticipated and managed. We report here on the delayed development of a pseudoaneurysm as the result of avulsion of clival meningeal arteries that manifests as unalarming intraoperative bleeding that appears as brisk and arterial but very easily controlled. Immediate postoperative angiography is negative, necessitating repeated angiography to depict the delayed formation...
March 11, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28284967/etiology-treatment-modalities-of-occipital-artery-aneurysms
#8
Nauman S Chaudhry, Brandon G Gaynor, Shahrose Hussain, Paul D Dernbach, Mohammad A Aziz-Sultan
BACKGROUND: Aneurysms of the external carotid artery represent approximately 2% of cervical carotid aneurysms with the majority being traumatic pseudoaneurysms. The diagnosis, treatment, and follow-up of such lesions are completely individualized as there is a paucity of literature available for guidance. CASE DESCRIPTION: We report the case of an 83-year-old woman with an 8-week history of headache in the occipital region, transient episode of gait disturbance, and pulsatile tinnitus on the right...
March 8, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28279718/the-role-of-endovascular-in-situ-revascularization-in-the-treatment-of-arterial-and-graft-infections
#9
David S Strosberg, Babatunde Oriowo, Mark Davies, Hosam F El Sayed
Mycotic aneurysms and prosthetic graft infections are traditionally treated with excision of the infected tissue or graft, often requiring anatomical or extra-anatomical bypass, carrying significant morbidity and mortality. Currently, the role of endovascular repair without excision in this setting has yet to be defined. We present two case scenarios whereby mycotic pseudoaneurysms were successfully treated with endovascular stent graft coverage, and to present an in-depth review of endovascular in-situ revascularziation in the treatment of arterial and graft infections...
March 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28259662/acute-pseudoaneurysm-following-carotid%C3%A2-artery-stenting
#10
Fabrizio Tomai, Giovanni De Persio, Alessandro Petrolini, Luca Altamura, Nicola Corcione, Raoul Borioni
No abstract text is available yet for this article.
February 24, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28242400/endovascular-management-of-a-ruptured-aortic-arch-pseudoaneurysm-using-the-snorkel-technique-and-coil-embolization
#11
Tao Ma, Zhi-Hui Dong, Wei-Guo Fu, Bin Chen, Jun Hao Jiang, Yun Shi
We report a reoperation case of a ruptured infectious aortic arch pseudoaneurysm, which was stabilized with thoracic endovascular aortic repair (TEVAR) and snorkel bypass of the innominate artery (IA) and the left common carotid artery (LCCA). A 57-year old Chinese woman with multiple comorbidities and previous open repair for Stanford type A aortic dissection 5 years ago presented with a ruptured 10.7cm×7.3cm aortic arch pseudoaneurysm involving the origins of the LCCA and the left subclavian artery. The patient underwent emergent endovascular aortic repair with placement of a stent-grafts in both IA and LCA coursing parallel to the aortic arch endograft...
February 24, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28242397/damage-control-endografting-for-the-unstable-or-unfit-patient
#12
Jonathan B Imran, Shirling Tsai, Carlos H Timaran, Rawson James Valentine, John Gregory Modrall
BACKGROUND: In the elective setting, both open surgical and endovascular therapies may be reasonable treatment options for many vascular conditions. However, an unstable or unfit patient with a vascular emergency may be less able to tolerate a definitive open vascular operation. We now report the outcomes for "damage control" endografting for unstable or unfit patients with vascular emergencies as bridge therapy before definitive open therapy. METHODS: A retrospective review of patients who underwent damage control endografting over a 9-year period (2005-2014) was performed...
February 24, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28217382/pipeline-embolization-device-as-primary-treatment-for-cervical-internal-carotid-artery-pseudoaneurysms
#13
Arthur Wang, Justin Santarelli, Michael F Stiefel
BACKGROUND: Limited data exists on the durability and occlusion rate of treating extracranial cervical internal carotid artery pseudoaneurysms using the pipeline embolization device (PED) flow-diverting stent. METHODS: Three patients presenting with dissecting cervical internal carotid artery pseudoaneurysms were treated with the PED as the sole treatment modality. RESULTS: In all three patients, successful aneurysmal occlusion and parent vessel reconstruction occurred on immediate angiography and continued on 6-month follow-up...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28216358/outcomes-of-thoracic-endovascular-aortic-repair-using-aortic-arch-chimney-stents-in-high-risk-patients
#14
Igor Voskresensky, Salvatore T Scali, Robert J Feezor, Javairiah Fatima, Kristina A Giles, Rosamaria Tricarico, Scott A Berceli, Adam W Beck
BACKGROUND: Aortic arch disease is a challenging clinical problem, especially in high-risk patients, in whom open repair can have morbidity and mortality rates of 30% to 40% and 2% to 20%, respectively. Aortic arch chimney (AAC) stents used during thoracic endovascular aortic repair (TEVAR) are a less invasive treatment strategy than open repair, but the current literature is inconclusive about the role of this technology. The focus of this analysis is on our experience with TEVAR and AAC stents...
February 16, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28207524/in-stent-stenosis-in-the-patient-with-internal-carotid-aneurysm-after-treated-by-the-willis-covered-stent-two-case-reports-and-literature-review
#15
Lun-Xin Liu, Meng-Yuan Song, Xiao-Dong Xie
In-stent stenosis after treated by Willis covered stent-case reports. BACKGROUND: Advancements in minimally invasive technology have allowed endovascular reconstruction of internal carotid aneurysm. However, in-stent stenosis is an important and well-characterized complication of stenting after the treatment of internal carotid aneurysm. CASE DESCRIPTION: We would present 2 patients who were diagnosed with in-stent stenosis after the treatment of Willis covered stent...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28183429/successful-facial-artery-pseudoaneurysm-coiling-and-pedicle-preservation-following-free-tissue-transfer
#16
Andrew T Day, Dane J Genther, Ferdinand Hui, Wojciech K Mydlarz, Gillian Griffith, Shaun C Desai
Patients undergoing free tissue reconstruction are at risk for development of an anastomotic pseudoaneurysm, which may present as delayed neck hemorrhage or a pulsatile neck mass. Diagnosis may be achieved by noninvasive imaging, angiography, and exploration. Management strategies for head and neck pseudoaneurysms have included open vessel ligation, open direct vessel repair, endovascular parent vessel embolization, and, most recently, endovascular pseudoaneurysm embolization. In patients with anastomotic pseudoaneurysms where adequate flap inosculation is doubted, endovascular pseudoaneurysm embolization with pedicle preservation may be an appropriate primary treatment approach...
January 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28163519/telescoping-dual-covered-stent-graft-construct-for-endovascular-treatment-of-a-giant-extracranial-carotid-artery-pseudoaneurysm
#17
Dale Ding, Robert M Starke, Maurice Moriarty, Stefan Brew
Large pseudoaneurysms which compress the parent vessel are challenging lesions to successfully treat with endovascular therapy. We describe the endovascular treatment of a giant extracranial carotid artery (ECCA) pseudoaneurysm resulting in substantial mass effect on the common carotid artery (CCA) bifurcation using a telescoping dual covered stent graft construct. A 56-year-old male was diagnosed with an 8.5 cm × 13 cm pseudoaneurysm arising from the left CCA bifurcation, which was causing luminal narrowing of the CCA and proximal internal carotid artery (ICA)...
December 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28127130/endovascular-therapy-using-flow-diversion-for-giant-internal-carotid-artery-pseudoaneurysm-arising-in-the-setting-of-an-invasive-pituitary-macroadenoma
#18
Amin F Saad, Almas Syed, Keyan B Marashi, Brian D O'Rourke, Joseph H Hise, Michael J Opatowsky, Kennith F Layton
This report illustrates the unusual occurrence of a pseudoaneurysm arising in the setting of a skull base mass and describes the first reported use of endovascular flow diversion therapy in such a setting. A 63-year-old man with occasional headaches during the preceding month presented with the acute onset of severe left retroorbital headache and oculomotor nerve palsy. Computed tomography (CT) and CT angiogram revealed a destructive skull base mass with an associated giant probable pseudoaneurysm of the cavernous segment of the left internal carotid artery...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28104948/external-carotid-artery-pseudoaneurysm-with-arteriovenous-fistula-a-rare-complication-of-glass-shrapnel-injury
#19
Rashmi Saraf, Rajaram Sharma, Lodha V Jaini, Shashikant Mhashal
Posttraumatic external carotid artery pseudoaneurysm with arteriovenous fistula is a rare condition. An 8-year-old child presented with painful pulsatile swelling in the preauricular region following a penetrating glass shrapnel injury. Detailed evaluation showed distal external carotid artery pseudoaneurysm with fistula, which was draining into the retromandibular vein. Endovascular treatment was performed. This case highlights the role of endovascular intervention for such rare complicated vascular pathologies...
October 2016: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/28092979/endovascular-treatment-of-hiv-associated-spontaneous-common-carotid-artery-pseudoaneurysm-in-a-case-of-miliary-and-cns-tuberculosis
#20
Rashmi Saraf, Amrita Narang, Mahesh Kardile, Prasad Udmale
HIV and tuberculosis infections are known to be associated with vasculopathy including occlusive disease and aneurysm formation. We report a case of 43-year-old male with miliary and central nervous system (CNS) tuberculosis; recently, diagnosed as HIV seropositive, on antiretroviral and antitubercular treatment presenting with painful neck swelling. He was found to have common carotid artery (CCA) pseudoaneurysm that was managed by endovascular stent grafting. HIV vasculopathy-related CCA pseudoaneurysm is a potentially life-threatening rare entity...
January 17, 2017: British Journal of Neurosurgery
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