Document Detail


Internal carotid artery aneurysm with life-threatening hemorrhages in a pediatric patient: endovascular treatment options.
MedLine Citation:
PMID:  15615565     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe the management of a pediatric patient with recurrent, life-threatening nasopharyngeal hemorrhages due to a pseudoaneurysm of the internal carotid artery (ICA), most likely caused by deep neck infection following peritonsillar abscess. CASE REPORT: An 11-year-old boy presented with lymphadenopathy of the neck, torticollis, and difficulty swallowing that had persisted for some weeks. After sneezing, the patient suffered massive recurrent nasopharyngeal hemorrhages leading to anemia. Computed tomography identified a 2 x 2-cm hematoma in the left parapharyngeal space; angiography revealed a saccular aneurysm (14.1 x 8.2 mm) of the extracranial ICA adjacent to the skull base, without ongoing hemorrhage. A bare Wallstent was initially implanted, but total exclusion was achieved only after secondary placement of a Symbiot covered stent within the bare stent. CONCLUSIONS: This case demonstrates the utility of an endovascular approach to an extracranial ICA pseudoaneurysm in a pediatric patient.
Authors:
Jan Gralla; Caspar Brekenfeld; Juerg Schmidli; Marco Caversaccio; Dai-Do Do; Gerhard Schroth
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  11     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-23     Completed Date:  2005-05-10     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  734-8     Citation Subset:  IM    
Affiliation:
Department of Neuroradiology, University of Bern, Switzerland. jan.gralla@insel.ch
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / radiography,  therapy*
Aneurysm, Ruptured / radiography,  therapy*
Angioplasty, Balloon / methods*
Carotid Artery, Internal*
Cerebral Angiography
Child
Critical Illness
Emergency Treatment / methods
Follow-Up Studies
Humans
Intracranial Hemorrhages / radiography*,  therapy*
Magnetic Resonance Angiography / methods
Male
Risk Assessment
Stents
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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