| Treatment of a cervical carotid pseudoaneurysm that occurred years after laryngectomy and irradiation of a neck tumor. | |
| | |
MedLine Citation:
|
PMID: 21869583 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
A 62-year-old man presented with rupture of a pseudoaneurysm of the left common carotid artery (CCA) that was induced after radiation therapy and neck surgery. The initial treatment was an endovascular procedure to obliterate the aneurysm with coils, and a covered stent was placed in the parent artery. However, the patient presented with subsequent coil migration, wound infection, and left CCA stenosis. Direct surgical procedures were then performed, including resection of the pseudoaneurysm with coils and stent; replacement of the carotid artery with a saphenous vein graft; and operative wound reinforcement with a pedicle flap. Endovascular treatments may be chosen for vascular diseases after irradiation, because of the low risk of wound infection and fragility of the vessels, but the long-term outcomes of intravascular treatments are still unclear. In direct surgery, dissection of the adhesive tissue and adequate wound healing are difficult. Musculocutaneous flaps with vascular pedicles can achieve good results. |
| | |
Authors:
|
Shunya Hanakita; Akira Iijima; Osamu Ishikawa; Kyousuke Kamada; Nobuhito Saito |
Related Documents
:
|
7317323 - Television-induced formed visual hallucinations and cerebral diplopia. 6770633 - Cerebral infarction secondary to sickle cell disease: arteriographic findings. 15216243 - Truncus arteriosus: a method for correcting right pulmonary artery stenosis created by ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Neurologia medico-chirurgica Volume: 51 ISSN: 1349-8029 ISO Abbreviation: Neurol. Med. Chir. (Tokyo) Publication Date: 2011 |
Date Detail:
|
Created Date: 2011-08-26 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0400775 Medline TA: Neurol Med Chir (Tokyo) Country: Japan |
Other Details:
|
Languages: eng Pagination: 588-91 Citation Subset: IM |
Affiliation:
|
Department of Neurosurgery, University of Tokyo Hospital. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Risk of rebleeding in arteriovenous malformations due to impaired venous drainage after radiosurgery...
Next Document: Transarterial embolization with use of lipiodol and gelatin sponge for active nasal bleeding from he...