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OtherINTERVENTIONAL

Massive Epistaxis Related to Petrous Carotid Artery Pseudoaneurysm After Radiation Therapy: Emergency Treatment with Covered Stent in Two Cases

Kai Ming Auyeung, Wai Man Lui, Lawrence C.K. Chow and Fu Luk Chan
American Journal of Neuroradiology August 2003, 24 (7) 1449-1452;
Kai Ming Auyeung
aDepartment of Radiology, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong
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Wai Man Lui
bDepartment of Neurosurgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong
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Lawrence C.K. Chow
cDivision of Otorhinolaryngology, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong
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Fu Luk Chan
aDepartment of Radiology, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong
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    Fig 1.

    Case 1.

    A, Conventional angiogram shows a small pseudoaneurysm in the distal portion of the left ICA. The pseudoaneurysm points inferomedially.

    B, Follow-up angiogram after stent placement depicts patency of the artery, with no evidence of pseudoaneurym

  • Fig 2.
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    Fig 2.

    Case 2.

    A, Conventional angiogram with left ICA injection demonstrates a large pseudoaneurysm in the petrous portion of the ICA.

    B, Follow-up angiogram after stent placement shows total isolation of the pseudoaneurysm and patency of the ICA

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    Fig 3.

    Case 2 (3-month follow-up).

    A, Follow-up oblique sagittal reformation of a CT angiogram of the neck depicts patency of the portion of the left ICA with stent, with no evidence of pseudoaneurysm.

    B, Follow-up axial CT scan shows that some portion of the ICA with stent is exposed to the nasopharynx.

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American Journal of Neuroradiology: 24 (7)
American Journal of Neuroradiology
Vol. 24, Issue 7
1 Aug 2003
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Cite this article
Kai Ming Auyeung, Wai Man Lui, Lawrence C.K. Chow, Fu Luk Chan
Massive Epistaxis Related to Petrous Carotid Artery Pseudoaneurysm After Radiation Therapy: Emergency Treatment with Covered Stent in Two Cases
American Journal of Neuroradiology Aug 2003, 24 (7) 1449-1452;

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Massive Epistaxis Related to Petrous Carotid Artery Pseudoaneurysm After Radiation Therapy: Emergency Treatment with Covered Stent in Two Cases
Kai Ming Auyeung, Wai Man Lui, Lawrence C.K. Chow, Fu Luk Chan
American Journal of Neuroradiology Aug 2003, 24 (7) 1449-1452;
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  • Cervical-petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques
  • Cervical-petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques
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