Treatment and experience of traumatic carotid artery injury with massive epistaxis

A retrospective analysis was made on 5 cases who had the traumatic carotid artery injury with massive epistaxis (from September 2007 to June 2011). All of them were finally diagnosed by digital substraction angiography (DSA). Among them, 2 cases of traumatic pesudoaneurysm from internal maxillary ar...

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Main Authors: Hai-cheng RAO, Ru-tong YU, Qian HAO, Wei-feng GAO, Bin GU, Shan GAO, Pei-wu HE, Xiang-fei SHI
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2013-09-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/809
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spelling doaj-27d46b95afb648d3951a1f3566126ab82020-11-25T00:13:23ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312013-09-01139812815808Treatment and experience of traumatic carotid artery injury with massive epistaxisHai-cheng RAORu-tong YUQian HAOWei-feng GAOBin GUShan GAOPei-wu HEXiang-fei SHIA retrospective analysis was made on 5 cases who had the traumatic carotid artery injury with massive epistaxis (from September 2007 to June 2011). All of them were finally diagnosed by digital substraction angiography (DSA). Among them, 2 cases of traumatic pesudoaneurysm from internal maxillary artery were embolized with polyvinyl alcohol particles and gelatin sponge. One case was carotid-cavernous fistula (CCF) with traumatic pesudoaneurysm located in the sphenoid sinus. This patient's internal carotid artery (ICA) and fistula was blocked with balloon, and then ICA was clipped proximal to the posterior communicating artery. One case with injuried ICA was treated with blocking by balloon. The pesudoaneurysm located in ICA cavernous segment of one case was embolized with coil and liquid glue. No recurrence was found after successful surgeries. Patients with massive epistaxis or recurrent epistaxis after craniofacial trauma should undergo CT angiography (CTA) or DSA examination so as to get proper diagnosis and treatment as early as possible.http://www.cjcnn.org/index.php/cjcnn/article/view/809Carotid artery injuriesEpistaxisEmbolization, therapeuticLigationAngiography, digital subtraction
collection DOAJ
language English
format Article
sources DOAJ
author Hai-cheng RAO
Ru-tong YU
Qian HAO
Wei-feng GAO
Bin GU
Shan GAO
Pei-wu HE
Xiang-fei SHI
spellingShingle Hai-cheng RAO
Ru-tong YU
Qian HAO
Wei-feng GAO
Bin GU
Shan GAO
Pei-wu HE
Xiang-fei SHI
Treatment and experience of traumatic carotid artery injury with massive epistaxis
Chinese Journal of Contemporary Neurology and Neurosurgery
Carotid artery injuries
Epistaxis
Embolization, therapeutic
Ligation
Angiography, digital subtraction
author_facet Hai-cheng RAO
Ru-tong YU
Qian HAO
Wei-feng GAO
Bin GU
Shan GAO
Pei-wu HE
Xiang-fei SHI
author_sort Hai-cheng RAO
title Treatment and experience of traumatic carotid artery injury with massive epistaxis
title_short Treatment and experience of traumatic carotid artery injury with massive epistaxis
title_full Treatment and experience of traumatic carotid artery injury with massive epistaxis
title_fullStr Treatment and experience of traumatic carotid artery injury with massive epistaxis
title_full_unstemmed Treatment and experience of traumatic carotid artery injury with massive epistaxis
title_sort treatment and experience of traumatic carotid artery injury with massive epistaxis
publisher Tianjin Huanhu Hospital
series Chinese Journal of Contemporary Neurology and Neurosurgery
issn 1672-6731
publishDate 2013-09-01
description A retrospective analysis was made on 5 cases who had the traumatic carotid artery injury with massive epistaxis (from September 2007 to June 2011). All of them were finally diagnosed by digital substraction angiography (DSA). Among them, 2 cases of traumatic pesudoaneurysm from internal maxillary artery were embolized with polyvinyl alcohol particles and gelatin sponge. One case was carotid-cavernous fistula (CCF) with traumatic pesudoaneurysm located in the sphenoid sinus. This patient's internal carotid artery (ICA) and fistula was blocked with balloon, and then ICA was clipped proximal to the posterior communicating artery. One case with injuried ICA was treated with blocking by balloon. The pesudoaneurysm located in ICA cavernous segment of one case was embolized with coil and liquid glue. No recurrence was found after successful surgeries. Patients with massive epistaxis or recurrent epistaxis after craniofacial trauma should undergo CT angiography (CTA) or DSA examination so as to get proper diagnosis and treatment as early as possible.
topic Carotid artery injuries
Epistaxis
Embolization, therapeutic
Ligation
Angiography, digital subtraction
url http://www.cjcnn.org/index.php/cjcnn/article/view/809
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