Cervical-petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques

Justin R Mascitelli, Reade A. De Leacy, Eric K. Oermann, Branko Skovrlj, Eric E. Smouha, Sharif H. Ellozy, Aman B. Patel

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Cervical-petrous internal carotid artery (CP-ICA) pseudoaneurysms are rare and have different etiologies, presentations, and treatment options. A middle-aged patient with a history of chronic otitis media presented with acute otorrhagia and was found to have a left-sided CP-ICA pseudoaneurysm. The patient was a poor surgical candidate with difficult arterial access. The pseudoaneurysm was treated with stand-alone coiling via a left brachial approach with persistent contrast filling seen only in the aneurysm neck at the end of the procedure. The patient re-presented 12 days later with repeat hemorrhage and rapid enlargement of the neck remnant, and was treated with a covered stent via a transcervical common carotid artery cut-down. A covered stent may provide a more definitive treatment for CP-ICA pseudoaneurysms compared with standalone coiling.

Original languageEnglish (US)
JournalBMJ Case Reports
DOIs
StatePublished - Jun 30 2014
Externally publishedYes

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Carotid Artery Injuries
Endovascular Procedures
Internal Carotid Artery
Stents
Common Carotid Artery
False Aneurysm
Otitis Media
Aneurysm
Arm
Neck
Hemorrhage
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cervical-petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques. / Mascitelli, Justin R; De Leacy, Reade A.; Oermann, Eric K.; Skovrlj, Branko; Smouha, Eric E.; Ellozy, Sharif H.; Patel, Aman B.

In: BMJ Case Reports, 30.06.2014.

Research output: Contribution to journalArticle

Mascitelli, Justin R ; De Leacy, Reade A. ; Oermann, Eric K. ; Skovrlj, Branko ; Smouha, Eric E. ; Ellozy, Sharif H. ; Patel, Aman B. / Cervical-petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques. In: BMJ Case Reports. 2014.
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