Endovascular management of postoperative pseudoaneurysms of the external carotid artery

José E. Cohen*, John M. Gomori, Samuel Moscovici, Savvas Grigoriadis, Fernando Ramirez De Noriega, Eyal Itshayek

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Hemorrhage secondary to postoperative pseudoaneurysm is a rare event, but may complicate the clinical course of straightforward and common interventions such as sinonasal procedures, tonsillectomy, and maxillofacial and plastic surgeries. We report our experience with the endovascular management of iatrogenic pseudoaneurysm in eight patients who had undergone recent craniomaxillofacial surgery. Computed tomography (CT), including CT-angiography, detected only three of the eight lesions. In all patients, endovascular embolization achieved successful occlusion of the pseudoaneurysm without local or general procedure-related complications. Immediate proximal arterial occlusion with detachable coils was performed in every case, and pseudoaneurysm coiling was performed in three cases presenting with active hemorrhage. Endovascular therapy proved to be safe and effective in the management of postoperative pseudoaneurysms. Surgeons involved in the craniomaxillofacial procedures should be aware of this complication and its management.

Original languageEnglish
Pages (from-to)649-654
Number of pages6
JournalJournal of Clinical Neuroscience
Volume19
Issue number5
DOIs
StatePublished - May 2012
Externally publishedYes

Keywords

  • Endovascular embolization
  • Maxillofacial
  • Pseudoaneurysms
  • Sinonasal
  • Tonsillectomy

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