关键词: case report endovascular intervention internal carotid artery pseudoaneurysm nasal bleeding nasopharyngeal carcinoma

来  源:   DOI:10.3389/fsurg.2022.1099416   PDF(Pubmed)

Abstract:
UNASSIGNED: Internal carotid artery pseudoaneurysm (PSA) is a serious complication after radiotherapy for nasopharyngeal carcinoma, and once it ruptures and bleeds, it will seriously affect the patient\'s survival and prognosis. However, because of its relatively low incidence, many medical institutions lack experience in managing this type of emergency.
UNASSIGNED: In this case report, we described two cases suffered ruptured internal carotid artery PSA after radiotherapy for nasopharyngeal carcinoma, including their history, diagnosis, and treatment. Both cases underwent emergency endovascular interventions, one of which with long-term healing after embolization of the PSA, and the other one with re-bleeding after embolization and was eventually stopped by embolization of the parent artery. Ultimately, both cases received timely and effective treatment.
UNASSIGNED: This case report detailed the diagnosis and treatment course of internal carotid artery PSA after radiotherapy for nasopharyngeal carcinoma, which enhanced the understanding of this emergency, and provided valuable information and experience for the treatment strategy of similar PSA on the internal carotid artery.
摘要:
UNASSIGNED:颈内动脉假性动脉瘤(PSA)是鼻咽癌放疗后的严重并发症,一旦破裂出血,严重影响患者的生存和预后。然而,由于其发病率相对较低,许多医疗机构缺乏管理这种紧急情况的经验。
UNASSIGNED:在此案例报告中,我们描述了2例鼻咽癌放疗后颈内动脉PSA破裂的病例,包括他们的历史,诊断,和治疗。两例均接受了紧急血管内介入治疗,其中一个在PSA栓塞后长期愈合,另一种在栓塞后再出血,最终通过父动脉栓塞而停止。最终,均得到及时有效的治疗。
UNASSIGNED:本病例报告详述鼻咽癌放疗后颈内动脉PSA的诊断和治疗过程,增强了对这种紧急情况的理解,为类似PSA在颈内动脉的治疗策略提供了有价值的信息和经验。
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