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一名复发性鼻出血患者的颈内动脉假性动脉瘤:病例报告及文献综述

Internal Carotid Artery Pseudoaneurysm in a Patient Presenting With Recurrent Epistaxis: A Case Report and Literature Review.

作者信息

Kim Hyejeen, Choi Ji Yun

机构信息

Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Republic of Korea.

出版信息

J Rhinol. 2024 Mar;31(1):46-51. doi: 10.18787/jr.2023.00072. Epub 2024 Mar 31.

Abstract

Traumatic pseudoaneurysms are uncommon vascular lesions that can result from traumatic injuries to the nasal and facial areas. They pose a significant clinical challenge due to their potential to cause recurrent and life-threatening epistaxis. Understanding the underlying vascular anatomy, causes, and treatment options is essential for optimizing patient outcomes. In this case report, we present a 55-year-old man who developed a traumatic pseudoaneurysm of the sphenoid sinus, arising from the cavernous segment of the internal carotid artery following a traumatic incident. This case was successfully managed with stent-assisted coil embolization.

摘要

创伤性假性动脉瘤是一种罕见的血管病变,可由鼻面部创伤引起。由于其可能导致反复发生且危及生命的鼻出血,因此带来了重大的临床挑战。了解其潜在的血管解剖结构、病因及治疗选择对于优化患者治疗效果至关重要。在本病例报告中,我们介绍了一名55岁男性,在一次创伤事件后,其蝶窦出现了一个由颈内动脉海绵窦段引发的创伤性假性动脉瘤。该病例通过支架辅助弹簧圈栓塞术成功得到治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/e735082df779/jr-2023-00072f1.jpg

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