Nikolakopoulos K M, Papageorgopoulou C P, Ntouvas I G, Kakkos S, Tsolakis I
Department of Vascular Surgery, University of Patras, Patras, Greece.
Case Rep Vasc Med. 2016;2016:1340589. doi: 10.1155/2016/1340589. Epub 2016 Nov 10.
Temporal artery is superficially exhibited and easily traumatized. Rarely, a minor and blunt trauma, especially in elderly who are under anticoagulants, can cause a pseudoaneurysm. Diagnosis should be based, primarily, on history and physical examination and secondarily on duplex ultrasound scanning which will lead to confirmation and preoperative planning. The therapeutical plan consists of surgical ligation and excision of the aneurysm. Surgery can be performed under local anesthesia with no postoperative major or minor complications. Endovascular approach consists of catheter embolization and remains a second option due to the risk of complications and the inconclusive results. On this review, authors present a case of an 80-year-old male with a pseudoaneurysm of superficial temporal artery.
颞浅动脉表浅,易于受伤。罕见的情况是,轻微钝性创伤,尤其是正在接受抗凝治疗的老年人,可导致假性动脉瘤。诊断主要应基于病史和体格检查,其次是双功超声扫描,这将有助于确诊和术前规划。治疗方案包括手术结扎和切除动脉瘤。手术可在局部麻醉下进行,术后无重大或轻微并发症。血管内治疗方法包括导管栓塞,但由于存在并发症风险且结果不确定,仍是第二选择。在本综述中,作者介绍了一例80岁男性颞浅动脉假性动脉瘤的病例。