PDF(Pubmed)
Abstract：
Post-traumatic pseudoaneurysms of the internal carotid are a rare but potentially fatal cause of epistaxis; they are associated with fractures of the base of the skull with involvement of the carotid canal. Endovascular management is the preferred therapeutic strategy, with optimal long-term results and low complication rates. Complications may include thromboembolic events, infarction of perforating arteries, and rupture of the pseudoaneurysm. We present a case of a 28-year-old male with a post-traumatic pseudoaneurysm of the internal carotid who was managed with endovascular therapy. A late complication was the extrusion of the embolization material into the nasal cavity and nasopharynx, which was safely and effectively treated through endovascular and endoscopic approaches.
摘要：
颈内动脉创伤后假性动脉瘤是鼻出血的罕见但潜在致命原因；它们与颅底骨折并累及颈动脉有关。血管内治疗是首选的治疗策略，具有最佳的长期结果和低并发症发生率。并发症可能包括血栓栓塞事件，穿通动脉的梗塞，假性动脉瘤破裂.我们介绍了一例28岁的男性，患有颈内动脉创伤后假性动脉瘤，并接受了血管内治疗。晚期并发症是栓塞材料挤压进入鼻腔和鼻咽，通过血管内和内镜方法安全有效地治疗。
