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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Tianjin Huanhu Hospital
2013-09-01
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Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/809 |
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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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