RT Journal Article
SR Electronic
T1 Massive Epistaxis Related to Petrous Carotid Artery Pseudoaneurysm After Radiation Therapy: Emergency Treatment with Covered Stent in Two Cases
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1449
OP 1452
VO 24
IS 7
A1 Auyeung, Kai Ming
A1 Lui, Wai Man
A1 Chow, Lawrence C.K.
A1 Chan, Fu Luk
YR 2003
UL http://www.ajnr.org/content/24/7/1449.abstract
AB Summary: Two patients had acute left carotid rupture from radiation therapy-induced pseudoaneurysms, resulting in hemodynamic collapse. Because the patients were semicomatose and in shock, an immediate salvage procedure was needed. Location of the pseudoaneurysm at the skull base made surgical treatment less possible. Endovascular therapy was the treatment of choice. Preserving patency of the carotid artery was a desirable option. The successful use of a covered stent in the emergency treatment of massive epistaxis due to active bleeding from pseudoaneurysm in the petrous internal carotid artery (ICA) is described.