Pseudoaneurysm Of Common Carotid Artery Research Articles

Successfully Procedure Endovascular Carotid Angioplasty Stent in a Case of Neck Stab Wound with Pseudoaneurysm, Recurrent Transient Ischemic Attack, and Horner Syndrome: A Case Report

Highlight: Uncommon Presentation and Diagnosis: The case report presents a unique and rare clinical scenario involving a 14-year-old boy who sustained a neck stab wound, leading to the development of a pseudoaneurysm within the common carotid artery. Multidisciplinary Approach to Treatment: The case highlights the complexity of managing such casesm where a multidisciplinary approach is paramount. The manuscript underscores the significance of involving neurology, interventional neurology, and vascular surgery teams to provide comprehensive and tailored patient care Efficacy of Endovascular Intervention: The successful outcome of the endovascular carotid angioplasty stent procedure highlights its effectiveness as a treatment option for addresing complex vascular conditions like pseudoaneurysm or dissection of the carotid artery. ABSTRACT Introduction: Neck stab wounds can lead to various vascular complications, including pseudoaneurysm or carotid artery dissection. Proper diagnosis and management can prevent recurrent strokes. Case: We reported a case of a 14-year-old boy with a previous left neck stab wound who developed recurrent transient ischemic attacks (TIAs) accompanied by Horner's syndrome and headache following a traumatic common carotid artery dissection. An angiographic examination revealed a pseudoaneurysm or dissection of the left common carotid artery. The patient was initially treated with oral anticoagulant therapy, but he continued to experience recurrent TIA. The patient was then treated endovascularly with a carotid angioplasty stent to restore the compromised carotid artery. Following the endovascular procedure, the patient experienced no complications, showed improvement in Horner syndrome, and had no headache. During the follow-up period, the patient had no more TIAs. Conclusion: Endovascular carotid angioplasty stents are an effective and safe way to treat pseudoaneurysm or dissection of the carotid artery, especially in cases presenting with recurrent TIAs and Horner syndrome. The observed clinical improvement following the procedure indicates significant benefits in enhancing the patient's quality of life and preventing complications from recurrent TIA episodes.

Anesthetic Considerations and Complications in Repair of Ruptured Common Carotid Artery Pseudoaneurysm after Firearm Injury

Incidence of injuries to the common carotid artery (CCA) is rare, but firearms can cause potentially lethal injuries to the vascular system, especially in the neck region. We present a case of gunshot injury to the neck caused by right CCA injury and formation of pseudoaneurysm which ruptured spontaneously and required immediate intervention and surgical repair. We discussed the anesthetic considerations and possible complications during the intraoperative and postoperative periods.

Asymptomatic right internal carotid artery pseudoaneurysm and Eagle's syndrome

A healthy 21-year-old man presented with a right neck palpable mass and calcifications diagnosed during a Panorex odontologic study. Computed tomography angiography imaging of the neck demonstrated a right common and internal carotid artery (ICA) pseudoaneurysm with irregular thrombus and calcifications causing severe right ICA stenosis (A, B). An elongated styloid process was identified adjacent to the pseudoaneurysm associated with ossification of the stylohyoid ligaments (C/Cover). A diagnosis of stylocarotid artery syndrome, a subtype of Eagle's syndrome, was considered and operative treatment recommended, given the pseudoaneurysm appearance with large thrombus and stenosis of the ICA.

CAROTID ARTERY PSEUDOANEURYSM FOLLOWING DIALYSIS LINE INSERTION- FATAL BUT AN AVOIDABLE COMPLICATION – a case report

ABSTRACT BACKGROUND: Carotid artery pseudoaneurysm due to accidental arterial puncture during internal jugular vein line insertion is a fatal as well as an avoidable complication if done in a proper way . CASE PRESENTATION: We report a case of right carotid artery pseudoaneurysm following right internal jugular vein cannulation . A 43-year gentleman, chronic kidney disease stage 5, on maintenance hemodialysis, developed a pulsatile swelling of the neck six days after a Central venous catheter placement in the right internal jugular vein, which was later diagnosed to be a pseudoaneurysm of the right common carotid artery. Surgical repair of the pseudoaneurysm was done . CONCLUSIONS Arterial complications are unavoidable however good the technique of central line insertion might be . However , a correct technique along with ultrasound guidance may reduce the incidence of arterial injury and its fatal complications during central line placement .

Management of ruptured pseudoaneurysm of the right common carotid artery in a resource-limited setting (Case report)

Carotid artery injuries with pseudo-aneurysm are uncommon but associated with central neurologic dysfunction. We present a 26-year-old man with a giant bleeding pseudo-aneurysm of right common carotid artery managed by emergency sternotomy, neck exploration and repair of the aneurysm. On the right side of the neck was a 10 × 8 cm mass occupying almost the entire posterior triangle. It was pulsatile, tender with sinus discharging serosanguinous fluid. Positive thrill and bruit were demonstrable over the mass. Conventional Computerized Angiography (CTA) and Distal Subtraction Angiography (DSA) showed a 1 cm defect in the lateral wall of the distal right common carotid artery (RCCA), complete circle of Willis and massive blood clot at the site of the defect. In middle-and low-income settings where the technical know-how and resources for stenting including cerebral oximeter are not available, expertise in open surgical approach becomes the only way to save life. Key words: Diagnosis, equipment, surgery, treatment, pseudoaneurysm, carotid artery, rupture.

Challenges in Managing Massive Neck Pseudoaneurysm

AbstractPseudoaneurysms in the neck are challenging surgical cases. They need detailed preoperative evaluation, treatment of etiology, and surgical/interventional management at appropriate time.Here, we describe a case of 45-year-old female who presented to emergency with impending rupture of swelling in the right side of neck. On evaluation, it was found to be a pseudoaneurysm of right common carotid artery (RCCA). She was planned for emergency surgery, but the swelling ruptured before the patient could be taken into the operation room (OR). The challenges faced in managing it are described below.

Endovascular Repair of Radiation-induced Bilateral Common Carotid Artery Stenosis and Pseudoaneurysm with Covered and Uncovered Stent Graft using Double Embolic Protection Device

Purpose: We present an unpublished case of bilateral carotid injury due to radiation-induced treated by endovascular therapy using double embolic protection device as a novel technique. Methods: Extracranial carotid artery pseudoaneurysm is a rare condition among head and neck cancer patients treated with radio therapy. We report a case of pseudoaneurysm in the right Common Carotid Artery (CCA) and critical stenosis in the left CCA. A 72 years-old patient laryngeal cancer treated with laryngectomy and radiotherapy 26 years before admission. He presented to us complaining of right neck pain and right hemispheric TIA symptoms. Results: Performed ultrasonography and magnetic resonance angiography revealed right Common Carotid Artery (CCA) pseudoaneurysm (size:13x25 mm) and critical stenosis in the left CCA. Endovascular treatment was performed in bilateral carotid artery using covered stent in pseudoaneurysms in the right CCA and uncovered stent due critical stenosis in the left CCA using double embolic protection device. Both procedures showed successful exclusion of the pseudoaneurysm and widely patent artery. Conclusion: Endovascular treatment in injury artery radiation-induced is safe and effective approach with low rate complications. The combined use of proximal cerebral protection devices and distal filter protection could decrease the rate of cerebral embolization procedure related.

947 Mycotic Pseudoaneurysm Of the Common Carotid Artery: A Rare Neck Lump

Abstract Mycotic pseudoaneurysms are rare, potentially fatal arterial wall infections of either fungal or bacterial origin. The estimated incidence is 20 cases/decade. Trauma is the commonest cause and in 25% the cause remains unknown. A 62-year-old man presented with a three-week history of a non-tender enlarging neck lump associated with hoarseness of voice. He was apyrexial with no stridor nor dysphagia. The lump measured 10x10cm at levels II-III on the left side of the neck with no overlying erythema. After normal oral examination, flexible nasendoscopy revealed a left-sided pharyngeal swelling occluding 25% of the airway. He was commenced on intravenous antibiotics and steroids. A contrast enhanced CT demonstrated a mycotic pseudoaneurysm of the left common carotid artery (CCA) with a linear foreign body exiting the oesophagus. He underwent emergency surgery with the vascular team to excise 3cm of unhealthy CCA with long saphenous vein graft repair. Neck exploration and panendoscopy found no further defects including no foreign body. He made an excellent recovery and is awaiting an injection thyroplasty to manage his complete left vocal cord palsy. Although rare, vascular injury and subsequent pseudoaneurysm is an important differential and should always be considered in those presenting with neck swelling.

超急性期に血管内治療を行った巨大総頸動脈仮性動脈瘤破裂の1例(Urgent endovascular treatment of a huge ruptured common carotid artery pseudoaneurysm: a case report)

要旨 総頸動脈仮性動脈瘤（common carotid artery pseudoaneurysm: CCAPa）破裂は，巨大血腫を形成し，気道閉塞となる。我々は，気道緊急に陥ったCCAPa破裂例に対して，初期治療後，血管内治療を行ったので報告する。症例は65歳の男性。突然頸部が腫脹し，気道狭窄のため当院搬送となった。SpO2 60%（BVM換気，酸素10L/min），ショックを呈していた。頸部正中は偏位し，喉頭鏡で声門は視認できなかった。超音波ガイド下で気管切開を行い，急速輸液で循環を維持した。安定化処置後の3DCTAでは，左CCAに3.5cm大の巨大仮性動脈瘤と血腫を認めた。血管撮影では，CCAPaからextravasationを認めたため，左CCAで遮断テストを行い，側副血行路を確認後，コイルによるCCA閉塞を行った。第4病日，頸動脈エコーで，CCAの血流再開を認め，再塞栓術を行い，以後再開通はなかった。第7病日，呼吸器から離脱，離床が可能となった。超急性期に，血管内治療でCCAを閉塞し，脳循環維持も可能であった。脳循環維持につながる迅速な安定化治療と低侵襲の血管内治療の組み合わせは，超急性期治療の1つとなりうる。

Endovascular Double-Layer Bare Stent Placement in the Treatment of Posttraumatic Pseudoaneurysm.

Objective To investigate the efficacy and safety of endovascular double-layer bare stent placement for the treatment of traumatic false aneurysm (TFA). Methods This is a retrospective review of five patients with TFA undergone double-layer bare stent placement in our center between February 2011 and August 2020. There are 2 males and 3 females aged 29-65 years, with an average age of 43 years. One case suffered from common carotid artery pseudoaneurysm, and four cases suffered superficial femoral artery pseudoaneurysm. Results The endovascular interventional treatment was successful in all 5 patients, and the pseudoaneurysms disappeared after treatment. No TFA recurrence and no complications such as instent stenosis, stent migration, stent fracture, endoleak, and infection were observed during the 3-99-month follow-up period. Conclusion For the treatment of TFA, endovascular interventional therapy with double-layer bare stent was minimally invasive, safe, and effective with fewer complications. It could preserve all branches of parent artery and had the advantage of lower cost. It can be used in the treatment of TFA in selected cases. However, further clinical researches with larger cohorts are needed before its long-term efficacy can be completely clarified.

A Case of Pseudoaneurysm of the Common Carotid Artery Presented with Upper Airway Obstruction

Extracranial carotid artery aneurysms account for only 1% of all arterial aneurysms and therefore they are quite rare pathology. Patients with those aneurysms present with a pulsatile neck mass, neurological events such as a stroke and a cranial nerves dysfunction due to compression effects. Because of the high risk of a rupture and thromboembolic events, it is recommended to repair these aneurysms either utilizing open surgical or endovascular approach. This report details a case of a female patient with a common carotid artery pseudoaneurysm presented with upper airway obstruction. Tracheotomy was performed as a lifesaving procedure. We opted for an endovascular management because of the existing tracheostomy that could complicate surgical approach. Pseudoaneurysm was successfully managed with an endovascular deployment of self-expanding stent graft.

A Case of Tuberculous Pseudoaneurysm of the Common Carotid Artery

A Case of Tuberculous Pseudoaneurysm of the Common Carotid Artery

IP107. Endovascular Repair of Spontaneous Common Carotid Pseudoaneurysm With Covered Stent: A Case Report

Covered stents are primarily used for treatment of arterial aneurysms, pseudoaneurysms and traumatic arterial injuries especially in high-risk patients. However, their use in carotid pseudoaneurysms remains uncommon and is limited to case reports and small case series. We report a successful case of endovascular treatment of a spontaneous right common carotid artery pseudoaneurysm with a covered stent. Our patient is 45-year-old woman with no comorbidities, who presented with complaints of pulsatile swelling of right side of neck, insidious in onset and gradually progressing in size over last 2 months. History of right upper limb acute limb ischemia category III of the right upper limb for which she underwent right above-elbow amputation 25 days earlier in another hospital. No history of trauma or signs of cranial nerve palsy were present. Computed tomography angiogram revealed a 7 × 7-cm contained hematoma with 2 × 2-cm pseudoaneurysm of the common carotid artery with a 7-mm neck, arising 11 mm from the common carotid artery origin (Fig 1). The patient was not willing to undergo open surgical repair, so she underwent right common carotid and distal innominate covered stenting with FLUENCY 9 × 60-mm via right femoral approach (Fig 2). In this particular case distal innominate is covered so as to achieve a 2-cm sealing zone and because she had already underwent right above-elbow amputation with a healed stump, there is no threat of acute ischemia after covering the subclavian ostia. The operative and perioperative periods were uneventful. Thrill and bruit disappeared in the immediate postoperative period. Postoperative duplex examination showed no endoleak with good flow across stent graft. This study highlights that carotid pseudoaneurysm can be managed safely and effectively with covered stent graft.Fig 2View Large Image Figure ViewerDownload Hi-res image Download (PPT)

A case report of placing covered stent for bile duct by pull through technique for iatrogenic pseudoaneurysm of common carotid artery

A case report of placing covered stent for bile duct by pull through technique for iatrogenic pseudoaneurysm of common carotid artery

Symptomatic Post Endarterectomy Common Carotid Artery Pseudoaneurysm Treated with Combination of Flow Diverter Implantation and Carotid Stenting.

A 74-year-old male developed cervical carotid artery psuedoaneurysm 8 months after carotid endarterectomy. The patient was successfully managed with dual implantation of flow-diverter and conventional carotid stent. Flow-diverter was placed across the neck of pseudoaneurysm to provide flow diversion while carotid stent was implanted within the lumen of the expanded flow-diverter to approximate and hold the flow diverter proximal and distal to the pseudoaneurysm. Follow-up ultrasonography revealed complete resolution of the pseudoaneurysm.

A Case of Rupture of Common Carotid Artery Pseudoaneurysm after Irradiation for Hypopharyngeal Cancer

A Case of Rupture of Common Carotid Artery Pseudoaneurysm after Irradiation for Hypopharyngeal Cancer

Treatment of a Case of Common Carotid Artery Pseudoaneurysm That Developed after Surgery for Hypopharynx Cancer by Covered Stent Placement

Treatment of a Case of Common Carotid Artery Pseudoaneurysm That Developed after Surgery for Hypopharynx Cancer by Covered Stent Placement

Hybrid approach in a difficult case of pseudoaneurysm of right common carotid artery

We present the case of a 65-year-old gentleman, who presented with a symptomatic pseudoaneurysm of the right common carotid artery. Because of high surgical risk, endovascular approach was decided upon. However, taking hardware across the lesion via the aortic arch provided us with insurmountable difficulties. Therefore, a hybrid approach was resorted to, in which an arteriotomy was done in the carotid artery followed by direct implantation of the stent. We were thus able to create a favorable trade-off between the high surgical risk of a full surgical procedure and the peri-operative benefit of an endovascular approach.

Pseudoaneurysm of the Common Carotid Artery in an Infant due to Swallowed Fish Bone.

Carotid artery pseudoaneurysm is a rare condition, particularly in the paediatric population. Only about 30 cases of carotid artery aneurysms in infants have been published until now. This paper reports the case of a giant pseudoaneurysm of the left common carotid artery due to swallowed fish bone by an 8-year-old boy. This pseudoaneurysm was 5.5 cm transverse-diameter and resulted in severe respiratory distress. It was treated by resection and end-to-end anastomosis with satisfactory outcome after one-year follow-up. To the best of our knowledge, this is the largest carotid artery pseudoaneurysm ever described in children.

Endovascular treatment of posttraumatic pseudoaneurysm of the common carotid artery.

Carotid artery injuries with pseudoaneurysm are uncommon but associated with central neurologic dysfunction. We present a case of posttraumatic pseudoaneurysm of the right common carotid artery treated by implantation of a covered stent. A 44-year-old woman with multiple injuries after fall from height presents a small dissection flap of the right common carotid artery (RCCA) on the initial computed tomography angiography (CTA). Fifteen days later a 10 mm pseudoaneurysm is observed on control CTA. We decided endovascular treatment. Through right femoral access with a long introducer sheath placed in the innominate artery, we implanted a covered stent Advanta V12 9 × 38 mm in the RCCA. The patient was discharged from the hospital with antiplatelet therapy without any neurological dysfunction and complete exclusion of the pseudoaneurysm. Use of covered stents has emerged as a safe and effective alternative to surgical repair of carotid injuries.