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 journalArticlepeer-review

3 Scopus citations

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

ASJC Scopus subject areas

  • Medicine(all)

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