Laurito Antonella, Kasemi Holta, Monti Andrea, Maselli Mauro, Manzo Paola, Tavolini Valeria, Gaggiano Andrea
Department of Surgery, Vascular Surgery Unit, "Cardinal Massaia" Hospital, Asti, Italy.
Department of Surgery, Vascular Surgery Unit, "Cardinal Massaia" Hospital, Asti, Italy; Department "Paride Stefanini", Vascular Surgery Unit, Sapienza University of Rome, Policlinico Umberto I, Rome, Italy.
Ann Vasc Surg. 2017 Aug;43:311.e1-311.e4. doi: 10.1016/j.avsg.2016.12.008. Epub 2017 Apr 3.
External carotid artery pseudoaneurysm (ECAP) is very rare. The usual mechanism is trauma or iatrogenic. We report a case of a patient with an asymptomatic, chronic ECAP secondary to partial parathyroidectomy. Percutaneous injection of the 2-component Fibrin Sealant (Tisseel; Baxter int, Deerfield, IL) with the 2 active ingredients (Sealer Protein Solution and Thrombin Solution) was carried out with successful occlusion of the pseudoaneurysmal sac. The 6-month follow-up computed tomographic scan confirmed the ECAP thrombosis. The ECAP endovascular approach is less invasive and reduces the complications of the open surgical intervention, especially in high-risk patients or presenting with hostile neck.
颈外动脉假性动脉瘤（ECAP）非常罕见。常见机制为创伤或医源性因素。我们报告一例患者，因部分甲状旁腺切除术后出现无症状的慢性颈外动脉假性动脉瘤。经皮注射含有两种活性成分（封闭剂蛋白溶液和凝血酶溶液）的双组分纤维蛋白封闭剂（Tisseel；百特国际有限公司，伊利诺伊州迪尔菲尔德），成功闭塞了假性动脉瘤囊。6个月的随访计算机断层扫描证实颈外动脉假性动脉瘤已形成血栓。颈外动脉假性动脉瘤的血管内治疗方法侵入性较小，减少了开放手术干预的并发症，尤其适用于高危患者或颈部情况复杂的患者。
