Sharma Arun, Kumar Sanjeev, Devarajan S Leve Joseph, Agarwal Himanshu
1 Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
2 Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Vasc Endovascular Surg. 2017 Oct;51(7):506-508. doi: 10.1177/1538574417723154. Epub 2017 Aug 2.
Iatrogenic cervical internal carotid artery pseudoaneurysm is a rare and potentially lethal complication following tonsillectomy. It can be complicated by thromboembolism, mass effect and eventually may rupture leading to death. Various endovascular treatment options are available for the management of these pseudoaneurysms, including coil embolization, detachable balloon occlusion, or stent graft placement. Parent artery occlusion using detachable balloons can be a therapeutic option in a subset of patients. However, evaluation of cross circulation with preprocedure balloon test occlusion is imperative in such cases.
医源性颈内动脉假性动脉瘤是扁桃体切除术后一种罕见且可能致命的并发症。它可并发血栓栓塞、占位效应，最终可能破裂导致死亡。对于这些假性动脉瘤的治疗有多种血管内治疗选择，包括弹簧圈栓塞、可脱性球囊闭塞或覆膜支架置入。使用可脱性球囊闭塞供血动脉在部分患者中可作为一种治疗选择。然而，在此类病例中，术前通过球囊试验闭塞评估侧支循环至关重要。
