扁桃体切除术后面动脉假性动脉瘤及严重出血——聚乙烯醇颗粒栓塞的血管内治疗
Facial artery pseudoaneurysm and severe bleeding after tonsillectomy - endovascular treatment with PVA particle embolization.
作者信息
Juszkat Robert, Korytowska Aleksandra, Lukomska Zofia, Zarzecka Anna
机构信息
Department of Neuroradiology, Poznań University of Medical Science, Poznań, Poland.
出版信息
Pol J Radiol. 2010 Jan;75(1):88-91.
BACKGROUND
Tonsillectomy is one of the most common procedures performed in ENT departments. The most common complication is a haemorrhage, which incidence is estimated at 3-3.9% of all procedures.
CASE REPORT
We present the case of a 32-year-old female with severe bleeding 11 and 23 days after tonsillectomy. An angiography revealed a pseudoaneurysm of the facial artery (FA), a 5 mm in diameter, at the level of tonsillar artery takeoff. The FA was embolized with 500-μm particles of PVA. The procedure was successful. The patient did not experience further bleeding.
CONCLUSIONS
In rare cases post-tonsillectomy haemorrhage may be caused by the pseudoaneurysm of the facial artery. The endovascular embolization of this condition proved to be a valuable treatment method. It is a safe and permanent treatment option in this potentially life-threatening complication.
背景
扁桃体切除术是耳鼻喉科最常见的手术之一。最常见的并发症是出血，其发生率估计占所有手术的3% - 3.9%。
病例报告
我们报告一例32岁女性患者，在扁桃体切除术后11天和23天出现严重出血。血管造影显示在扁桃体动脉起始水平处有一个直径5毫米的面动脉假性动脉瘤。使用500微米的聚乙烯醇颗粒对面动脉进行栓塞。手术成功。患者未再出血。
结论
在罕见情况下，扁桃体切除术后出血可能由面动脉假性动脉瘤引起。这种情况下的血管内栓塞被证明是一种有价值的治疗方法。对于这种潜在危及生命的并发症，它是一种安全且永久性的治疗选择。
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