Raffin C N, Montovani J C, Neto J M P, Campos C M S, Piske R L
Department of Neurology, Botucatu Medical School, UNESP; São Paulo, Brazil.
Interv Neuroradiol. 2002 Mar 30;8(1):71-5. doi: 10.1177/159101990200800113. Epub 2004 Oct 20.
Surgery on the head and neck region may be complicated by vascular trauma, caused by direct injury on the vascular wall. Lesions of the arteries are more dangerous than the venous one. The traumatic lesion may cause laceration of the artery wall, spasm, dissection, arteriovenous fistula, occlusion or pseudoaneurysm. We present a case of a child with a giant ICA pseudoaneurysm after tonsillectomy, manifested by pulsing mass and respiratory distress, which was treated by endovascular approach, occluding the lesion and the proximal artery with Histoacryl. We reinforce that the endovascular approach is the better way to treat most of the traumatic vascular lesions.
头颈部手术可能因血管壁直接损伤导致血管创伤而变得复杂。动脉损伤比静脉损伤更危险。创伤性损伤可能导致动脉壁撕裂、痉挛、夹层、动静脉瘘、闭塞或假性动脉瘤。我们报告一例扁桃体切除术后出现巨大颈内动脉假性动脉瘤的儿童病例，表现为搏动性肿块和呼吸窘迫，通过血管内介入方法进行治疗，使用组织黏合剂封堵病变及近端动脉。我们强调血管内介入方法是治疗大多数创伤性血管病变的更佳方式。
