Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Endovascular Stenting of a Traumatic Pseudoaneurysm on C5 Portion of the Internal Carotic Artery - A Case Report -

내경동맥에 발생한 외상성 가성동맥류에 대한 혈관내 스텐트 치료

  • Jung, Hyun Ho (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Kim, Hun Joo (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Lee, Myeung Sub (Department of Radiology, Wonju College of Medicine, Yonsei University) ;
  • Whang, Kum (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Cho, Sung Min (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Hu, Chul (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Pyen, Jhin Soo (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Hong, Soon Ki (Department of Neurosurgery, Wonju College of Medicine, Yonsei University)
  • 정현호 (연세대학교 원주의과대학 원주기독병원 신경외과학교실) ;
  • 김헌주 (연세대학교 원주의과대학 원주기독병원 신경외과학교실) ;
  • 이명섭 (연세대학교 원주의과대학 원주기독병원 방사선과학교실) ;
  • 황금 (연세대학교 원주의과대학 원주기독병원 신경외과학교실) ;
  • 조성민 (연세대학교 원주의과대학 원주기독병원 신경외과학교실) ;
  • 허철 (연세대학교 원주의과대학 원주기독병원 신경외과학교실) ;
  • 변진수 (연세대학교 원주의과대학 원주기독병원 신경외과학교실) ;
  • 홍순기 (연세대학교 원주의과대학 원주기독병원 신경외과학교실)
  • Received : 2001.07.02
  • Accepted : 2001.11.13
  • Published : 2001.12.31
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Abstract

This 18-year-old male patient had a massive epistaxis after motorcycle traffic accident on 1st day of admission. There were no other significant brain parenchymal lesion on initial brain CT exam, except multiple pneumocephalus and basal skull fracture lines. We treated epistaxis conservatively till vital signs were corrected, and then conventional cerebral angiogram was followed. On angiogram, there was traumatic pseudoaneurysm on C5 portion(by Fischer) of ICA, so we treated it only by endovascular stenting. For the purpose of sparing parent arterial patency, endovascular stenting on pseudoaneurysm may play a role with safety and good results.

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