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

6 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 leftsided 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)
Pages (from-to)e25
JournalJournal of NeuroInterventional Surgery
Volume7
Issue number7
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Cervical-petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques'. Together they form a unique fingerprint.

Cite this