Pimiento Figueroa Jonathan, Escobar Howard Mariana, Escudero Pineda Pablo, Orozco Arteaga Sebastian
Radiology, Servicios de Salud San Vicente Fundación, Medellín, COL.
Otolaryngology, Head and Neck Surgery, Universidad de Antioquia, Medellín, COL.
Cureus. 2024 Apr 12;16(4):e58121. doi: 10.7759/cureus.58121. eCollection 2024 Apr.
Post-traumatic pseudoaneurysms of the internal carotid are a rare but potentially fatal cause of epistaxis; they are associated with fractures of the base of the skull with involvement of the carotid canal. Endovascular management is the preferred therapeutic strategy, with optimal long-term results and low complication rates. Complications may include thromboembolic events, infarction of perforating arteries, and rupture of the pseudoaneurysm. We present a case of a 28-year-old male with a post-traumatic pseudoaneurysm of the internal carotid who was managed with endovascular therapy. A late complication was the extrusion of the embolization material into the nasal cavity and nasopharynx, which was safely and effectively treated through endovascular and endoscopic approaches.
创伤性颈内动脉假性动脉瘤是鼻出血的一种罕见但可能致命的病因；它们与累及颈动脉管的颅底骨折有关。血管内治疗是首选的治疗策略，具有最佳的长期效果和低并发症发生率。并发症可能包括血栓栓塞事件、穿支动脉梗死和假性动脉瘤破裂。我们报告一例28岁男性创伤性颈内动脉假性动脉瘤患者，采用血管内治疗。一种晚期并发症是栓塞材料挤入鼻腔和鼻咽部，通过血管内和内镜方法对其进行了安全有效的治疗。
