scholarly journals Endovascular Treatment to Stop Life-threatening Bleeding from Branches of the External Carotid Artery in Patients with Traumatic Maxillofacial Fracture

2016 ◽  
Vol 18 (2) ◽  
pp. 83
Author(s):  
Woosung Lee ◽  
Yu Shik Shim ◽  
Joonho Chung
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
External Carotid Artery ◽  
External Carotid ◽  
Maxillofacial Fracture ◽  
Life Threatening

Giant life-threatening external carotid artery pseudoaneurysm caused by a mandibular condylar fracture

2015 ◽  
Vol 119 (3) ◽  
pp. e95-e100 ◽  
Author(s):  
André Luis Ribeiro Ribeiro ◽  
Walessa Brasil da Silva ◽  
Sérgio de Melo Alves-Junior ◽  
João de Jesus Viana Pinheiro
Keyword(s):  
Carotid Artery ◽  
External Carotid Artery ◽  
External Carotid ◽  
Condylar Fracture ◽  
Artery Pseudoaneurysm ◽  
Life Threatening

Fulminant post-tonsillectomy haemorrhage caused by aberrant course of the external carotid artery

2005 ◽  
Vol 119 (8) ◽  
pp. 655-657 ◽  
Author(s):  
Rutger Hofman ◽  
Clark J Zeebregts ◽  
Frederik G Dikkers
Keyword(s):  
Carotid Artery ◽  
Surgical Intervention ◽  
External Carotid Artery ◽  
External Carotid ◽  
Throat Pain ◽  
Life Threatening ◽  
Secondary Haemorrhage

Haemorrhage, throat pain and otalgia are common complications following tonsillectomy. Haemorrhage is rarely life-threatening but in this paper we describe a fulminant secondary haemorrhage due to an aberrant external carotid artery in an eight-year-old boy. Acute surgical intervention with ligation of the external carotid artery was needed to control the bleeding.

scholarly journals Spontaneous Aneurysm of External Carotid Artery: Management and Complications

2018 ◽  
Vol 4 (02) ◽  
pp. 081-084
Author(s):  
Pankaj Banode ◽  
Abhinav A. Mohan ◽  
Shishir Ravekar ◽  
Priyanka Banode ◽  
Pushan Sharma
Keyword(s):  
Carotid Artery ◽  
Artery Aneurysm ◽  
External Carotid Artery ◽  
Laryngeal Edema ◽  
External Carotid ◽  
Extracranial Carotid Artery ◽  
Mortality And Morbidity ◽  
Carotid Artery Aneurysm ◽  
Life Threatening ◽  
Large Aneurysm

AbstractExtracranial carotid artery aneurysm is a rare vascular disease in the neck with variable presentation. Aneurysms are associated with significant mortality and morbidity and are associated with fatal complication secondary to spontaneous rupture or tracheal compression or laryngeal edema and distal embolization. A 43-year-old male patient presented with large aneurysm arising from proximal common carotid artery (CCA) causing tracheal obstruction leading to life-threatening respiratory symptoms. The endovascular interventional management is an emerging alternative for surgical option and providing promising results with almost similar safety and efficacy. Endovascular management of an extracranial carotid artery aneurysm using stent graft is minimally invasive and effective.

scholarly journals Angiographic Evaluation and Endovascular Treatment Considerations of Brain Arteriovenous Malformations With a Transdural Blood Supply: A Single-Center Experience

2021 ◽  
Vol 11 ◽  
Author(s):  
Kun Hou ◽  
Kan Xu ◽  
Lai Qu ◽  
Guichen Li ◽  
Yunbao Guo ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Blood Supply ◽  
Arteriovenous Malformations ◽  
External Carotid Artery ◽  
External Carotid ◽  
Brain Arteriovenous Malformations ◽  
Single Center Experience ◽  
Scale Scores ◽  
Treatment Considerations

Background: In rare circumstances, brain arteriovenous malformations (BAVMs) can recruit a transdural blood supply (TBS). The clinical and radiologic characteristics of BAVMs with a TBS are poorly understood.Methods: A retrospective review of the medical records was conducted for adult patients who were admitted for BAVMs from Jan 2013 to Dec 2019. TBSs for BAVMs were divided into 3 types: (1) unilateral TBSs from the external carotid artery (ECA) and/or meningeal branch of the vertebral artery (VA); (2) bilateral TBSs from the ECA and/or meningeal branch of the VA; and (3) meningohypophyseal trunk TBSs of the internal carotid artery.Results: Four hundred and twenty-eight patients were diagnosed with BAVMs during the study period, of whom 30 (7.0%, 30/428) were identified as having a TBS. Type 1, type 2, and type 3 TBSs were identified in 21 (70%, 21/30), 7 (23.3%, 7/30), and 2 (6.7%, 2/30) patients, respectively. Six (20%, 6/30) patients were conservatively managed. Twelve (40%, 12/30) patients underwent endovascular treatment (EVT) of the BAVM through non-TBS feeders. Eight (26.8%, 8/30) patients underwent EVT of the BAVM both through the TBS and non-TBS feeders. The modified Rankin Scale scores at the 3-month follow-up were 0, 1, 2, 4, and 5 in 24 (80%, 24/30), 2 (6.7%, 2/30), 2 (6.7%, 2/30), 1 (3.3%, 1/30), and 1 (3.3%, 1/30) patients, respectively. Good short-term recovery was achieved in 86.7% (26/30) of the patients. The size of the BAVMs with a TBS was larger than that of BAVMs without a TBS. Patients with higher Spetzler-Martin grades tended to have a TBS. No statistical difference was noted between the patients with and without a TBS with regard to age, sex, location, or concurrent aneurysms.Conclusions: This study showed that a TBS was likely to develop in patients with larger BAVMs and that a TBS was likely to be located in the temporal lobe in patients BAVMs with higher SM grades. Weak structures were the primary targets of management. In addition, a BAVM could be embolized via the TBS.

scholarly journals Dural arteriovenous fistulas of the cavernous sinus - clinical case and treatment

2014 ◽  
Vol 21 (2) ◽  
pp. 169-174
Author(s):  
A. Chiriac ◽  
N. Dobrin ◽  
St.M. Iencean ◽  
I. Poeata
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Cavernous Sinus ◽  
Clinical Case ◽  
Dural Arteriovenous Fistula ◽  
Clinical Symptoms ◽  
External Carotid Artery ◽  
External Carotid ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas

Abstract The purpose of our article is to present the results of our treatment of dural arteriovenous fistula of the cavernous sinus by glue embolization of the external carotid artery feeders. By this case presentation we try to clarify the clinical course, with the dural carotid cavernous fistula (CCF), characterizing a pallet of symptoms, paying special attention to radiological finding and endovascular treatment. Dural arteriovenous fistulas represent 10% to 15% of all intracranial arteriovenous malformations (A. Fox, G. Duckwiler, “Dural Arteriovenous Fistula,” presented at the annual meeting of the American Society of Neuroradiology, St Louis, Mo, June 1992). Dural arteriovenous fistulas are rare clinical situation, especially examples involving the cavernous sinus. Most dural fistulas are acquired conditions, typically occurring in postmenopausal women, but sometimes in other patients in association with other condition [1,3]. These dural fistulas are most often “spontaneous” cavernous carotid shunts (usually low-flow) [2, 4, 5], usually related to a past trauma or surgery. The classical triad, represented by pulsating exophthalmos, conjunctival chemosis, and pulsatile-tinnitus are well-known clinical symptoms of these lesions but are not necessary present in the majority of the patients as first indicators. The anatomy of these vascular malformations consists of multiple arterial feeders flowing into cavernous sinus. The arterial feeders are usually meningeal branches arising from the internal carotid artery (ICA) or the external carotid artery (ECA). However, there are few reports of large series [1], and the clinical entity is not widely known. The purpose of this paper is to present a clinical case of a patient with dural cavernous sinus fistulae, clarify the clinical symptoms course and special attention to results of endovascular treatment.

scholarly journals Transarterial embolization of the external carotid artery in the treatment of life-threatening haemorrhage following blunt maxillofacial trauma

2020 ◽  
Vol 54 (3) ◽  
pp. 253-262
Author(s):  
Crt Langel ◽  
Dimitrij Lovric ◽  
Ursa Zabret ◽  
Tomislav Mirkovic ◽  
Primoz Gradisek ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Injury Severity ◽  
Transarterial Embolization ◽  
Treatment Options ◽  
Case Series ◽  
External Carotid Artery ◽  
Maxillofacial Trauma ◽  
External Carotid ◽  
Severe Bleeding ◽  
Life Threatening

AbstractBackgroundSevere bleeding after blunt maxillofacial trauma is a rare but life-threatening event. Non-responders to conventional treatment options with surgically inaccessible bleeding points can be treated by transarterial embolization (TAE) of the external carotid artery (ECA) or its branches. Case series on such embolizations are small; considering the relatively high incidence of maxillofacial trauma, the ECA TAE procedure has been hypothesized either underused or underreported. In addition, the literature on the ECA TAE using novel non-adhesive liquid embolization agents is remarkably scarce.Patients and methodsPubMed review was performed to identify the ECA TAE literature in the context of blunt maxillofacial trauma. If available, the location of the ECA injury, the location of embolization, the chosen embolization agent, and efficacy and safety of the TAE were noted for each case. Survival prognostic factors were also reviewed. Additionally, we present an illustrative TAE case using a precipitating hydrophobic injectable liquid (PHIL) to safely and effectively control a massive bleeding originating bilaterally in the ECA territories.Results and conclusionsBased on a review of 205 cases, the efficacy of TAE was 79.4–100%, while the rate of major complications was about 2–4%. Successful TAE haemostasis, Glasgow Coma Scale score ≥ 8 at presentation, injury severity score ≤ 32, shock index ≤ 1.1 before TAE and ≤ 0.8 after TAE were significantly correlated with higher survival rate. PHIL allowed for fast yet punctilious application, thus saving invaluable time in life-threatening situations while simultaneously diminishing the possibility of inadvertent injection into the ECA-internal carotid artery (ICA) anastomoses.

scholarly journals Intervening in the Acute Phase of Postradiation Carotid Blowout Syndrome

2019 ◽  
Vol 23 (02) ◽  
pp. 172-177 ◽  
Author(s):  
Marrigje A. de Jong ◽  
Carlos Candanedo ◽  
Menachem Gross ◽  
José E. Cohen
Keyword(s):  
Carotid Artery ◽  
Endovascular Procedures ◽  
Palliative Therapy ◽  
Surgical Excision ◽  
External Carotid Artery ◽  
External Carotid ◽  
Covered Stents ◽  
Carotid Blowout Syndrome ◽  
Life Years ◽  
Life Threatening

Introduction Acute carotid blowout syndrome (aCBS) is a severe complication of head and neck cancer (HNC). It can be defined as a rupture of the extracranial carotid arteries, or one of their branches, that causes life-threatening hemorrhage, and which nowadays can be treated with urgent endovascular intervention. Objective We retrospectively evaluate the endovascular management of aCBS and its outcome in years of survival. Methods Retrospectively, we describe our experience with endovascular control of aCBS in patients treated for HNC. We review the characteristics, pathology, endovascular treatment and morbidity and assess the gain in life years. Results Nine individuals were included in this study. Four patients had been previously diagnosed with laryngeal squamous cell carcinoma (SCC), one with paranasal SCC, one with nasopharyngeal carcinoma and three with oral or maxillary adenocarcinoma. All subjects underwent radiotherapy and surgical excision to different extents. Twelve endovascular procedures were performed for injuries to the internal carotid artery (n = 3; 25%), external carotid artery (n = 1; 7%) or one of their branches (n = 8; 67%). Deconstructive methods were used in nine procedures, and three procedures were mainly reconstructive with deployment of covered stents. Total control of bleeding was achieved in all individuals with no intraprocedural complications. Conclusion Endovascular therapy is an effective alternative for the management of exsanguinating CBS. In our series, this palliative therapy increased the overall patient survival by an estimated 9 months.

Sign in / Sign up

Export Citation Format

Share Document