Traumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations

Purpose: To explore the diagnosis and treatment of traumatic external carotid branch pseudoaneurysms. Methods: Eleven cases of traumatic external carotid artery branch pseudoaneurysms were admitted in our hospital. Digital subtraction angiography was performed in all patients. It revealed that the p...

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Autores principales:	Geng-Huan Wang, He-Ping Shen, Zheng-Min Chu, Jian-Guo Shen, Hai-Hang Zhou
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Pseudoaneurysm Internal maxillary artery Superficial temporal artery External carotid artery Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/df7b10166b354bfa857868823e633721
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spelling	oai:doaj.org-article:df7b10166b354bfa857868823e6337212021-11-18T04:43:41ZTraumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations1008-127510.1016/j.cjtee.2021.04.003https://doaj.org/article/df7b10166b354bfa857868823e6337212021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1008127521000596https://doaj.org/toc/1008-1275Purpose: To explore the diagnosis and treatment of traumatic external carotid branch pseudoaneurysms. Methods: Eleven cases of traumatic external carotid artery branch pseudoaneurysms were admitted in our hospital. Digital subtraction angiography was performed in all patients. It revealed that the pseudoaneurysms originated from the internal maxillary artery in 5 cases, superficial temporal artery in 5 cases and occipital artery in 1 case. Five cases of internal maxillary artery pseudoaneurysms and 2 cases of superficial temporal artery pseudoaneurysms were treated by embolization; the other 3 cases were surgically resected. Results: Complete cessation of nasal bleeding was achieved in all the 5 pseudoaneurysms of internal maxillary artery after the endovascular therapies. Scalp bleeding stopped and scalp defect healed up in 2 patients with superficial temporal artery pseudoaneurysms treated by interventional therapy. All patients were followed up for 0.5–2.0 years without recurrence of nosebleed and scalp lump. Conclusion: For patients with repeated severe epistaxis after craniocerebral injury, digital subtraction angiography should be performed as soon as possible to confirm traumatic pseudoaneurysm. Endovascular therapy is an effective method for traumatic internal maxillary artery pseudoaneurysms. For patients with scalp injuries and pulsatile lumps, further examinations including digital subtraction angiography should be performed to confirm the diagnosis. Surgical treatment or endovascular therapy for scalp traumatic pseudoaneurysm is effective.Geng-Huan WangHe-Ping ShenZheng-Min ChuJian-Guo ShenHai-Hang ZhouElsevierarticlePseudoaneurysmInternal maxillary arterySuperficial temporal arteryExternal carotid arteryMedicine (General)R5-920ENChinese Journal of Traumatology, Vol 24, Iss 6, Pp 368-373 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pseudoaneurysm Internal maxillary artery Superficial temporal artery External carotid artery Medicine (General) R5-920
spellingShingle	Pseudoaneurysm Internal maxillary artery Superficial temporal artery External carotid artery Medicine (General) R5-920 Geng-Huan Wang He-Ping Shen Zheng-Min Chu Jian-Guo Shen Hai-Hang Zhou Traumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations
description	Purpose: To explore the diagnosis and treatment of traumatic external carotid branch pseudoaneurysms. Methods: Eleven cases of traumatic external carotid artery branch pseudoaneurysms were admitted in our hospital. Digital subtraction angiography was performed in all patients. It revealed that the pseudoaneurysms originated from the internal maxillary artery in 5 cases, superficial temporal artery in 5 cases and occipital artery in 1 case. Five cases of internal maxillary artery pseudoaneurysms and 2 cases of superficial temporal artery pseudoaneurysms were treated by embolization; the other 3 cases were surgically resected. Results: Complete cessation of nasal bleeding was achieved in all the 5 pseudoaneurysms of internal maxillary artery after the endovascular therapies. Scalp bleeding stopped and scalp defect healed up in 2 patients with superficial temporal artery pseudoaneurysms treated by interventional therapy. All patients were followed up for 0.5–2.0 years without recurrence of nosebleed and scalp lump. Conclusion: For patients with repeated severe epistaxis after craniocerebral injury, digital subtraction angiography should be performed as soon as possible to confirm traumatic pseudoaneurysm. Endovascular therapy is an effective method for traumatic internal maxillary artery pseudoaneurysms. For patients with scalp injuries and pulsatile lumps, further examinations including digital subtraction angiography should be performed to confirm the diagnosis. Surgical treatment or endovascular therapy for scalp traumatic pseudoaneurysm is effective.
format	article
author	Geng-Huan Wang He-Ping Shen Zheng-Min Chu Jian-Guo Shen Hai-Hang Zhou
author_facet	Geng-Huan Wang He-Ping Shen Zheng-Min Chu Jian-Guo Shen Hai-Hang Zhou
author_sort	Geng-Huan Wang
title	Traumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations
title_short	Traumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations
title_full	Traumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations
title_fullStr	Traumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations
title_full_unstemmed	Traumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations
title_sort	traumatic pseudoaneurysms of external carotid artery branch: case series and treatment considerations
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/df7b10166b354bfa857868823e633721
work_keys_str_mv	AT genghuanwang traumaticpseudoaneurysmsofexternalcarotidarterybranchcaseseriesandtreatmentconsiderations AT hepingshen traumaticpseudoaneurysmsofexternalcarotidarterybranchcaseseriesandtreatmentconsiderations AT zhengminchu traumaticpseudoaneurysmsofexternalcarotidarterybranchcaseseriesandtreatmentconsiderations AT jianguoshen traumaticpseudoaneurysmsofexternalcarotidarterybranchcaseseriesandtreatmentconsiderations AT haihangzhou traumaticpseudoaneurysmsofexternalcarotidarterybranchcaseseriesandtreatmentconsiderations
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Traumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations

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