Korean Journal of Radiology

  • 제11권6호
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  • Pages.603-611
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  • 2010
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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Endovascular Treatment of Traumatic Pseudoaneurysm Presenting as Intractable Epistaxis

  • Zhang, Chang Wei (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • Xie, Xiao Dong (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • You, Chao (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • Mao, Bo Yong (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • Wang, Chao Hua (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • He, Min (Department of Neurosurgery, West China Hospital, Sichuan University) ;
  • Sun, Hong (Department of Neurosurgery, West China Hospital, Sichuan University)
  • 투고 : 2010.04.11
  • 심사 : 2010.07.07
  • 발행 : 2010.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: To investigate the clinical efficacy of individual endovascular management for the treatment of different traumatic pseudoaneurysms presenting as intractable epistaxis. Materials and Methods: For 14 consecutive patients with traumatic pseudoaneurysm presenting as refractory epistaxes, 15 endovascular procedures were performed. Digital subtraction angiography revealed that the pseudoaneurysms originated from the internal maxillary artery in eight patients; and all were treated with occlusion of the feeding artery. In six cases, they originated from the internal carotid artery (ICA); out of which, two were managed with detachable balloons, two with covered stents, one by means of cavity embolization, and the remaining one with parent artery occlusion. All of these cases were followed up clinically from six to 18 months, with a mean follow up time of ten months; moreover, three cases were also followed with angiography. Results: Complete cessation of bleeding was achieved in all the 15 instances (100%) immediately after the endovascular therapies. Of the six patients who suffered from ICA pseudoaneurysms, one presented with a permanent stroke and one had an episode of rebleeding requiring intervention. Conclusion: In patients presenting with a history of craniocerebral trauma, traumatic pseudoaneurysm must be considered as a differential diagnosis. Individual endovascular treatment is a relatively safe, plausible, and reliable means of managing traumatic pseudoaneurysms.

키워드

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피인용 문헌

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  5. Management of intractable epistaxis in patients who received radiation therapy for nasopharyngeal carcinoma vol.270, pp.10, 2010, https://doi.org/10.1007/s00405-013-2598-6
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