Abstract
Rupture of internal carotid artery (ICA) pseudoaneurysm is a lethal complication in patients with nasopharyngeal carcinoma (NPC). Angiography is the best diagnostic and treatment method. The aim of embolization is to block the pseudoaneurysm; but sometimes, total occlusion of great vessels is ineludible. We describe a case of NPC post-radiation therapy and with ruptured pseudoaneurysm treated by angio-embolization. The patient had received embolization with numerous tools such as stent grafts, balloons, and bare stents with or without filter protection. After failing to pass through the narrow lumen by embolizing tools, the right ICA finally occluded spontaneously by self-thrombosis. Although the angio-embolization is a good method to resolve the problems of ruptured pseudoaneurysm, there is still high mortality and morbidity. Being aware of the clinical presentations and the changes of images may alert us to predict the happening earlier.
References
Feb 1, 1993·The Journal of Laryngology and Otology·D G JohnC A van Hasselt
Apr 20, 1999·Head & Neck·J S MokC A van Hasselt
Apr 15, 2000·The Australian and New Zealand Journal of Surgery·W K MakS P Kwok
Apr 1, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Hsin-Chien ChenWan-Fu Su
Jun 7, 2005·International Journal of Radiation Oncology, Biology, Physics·Shyh-An YehEng-Yen Huang
Jan 24, 2006·The Annals of Otology, Rhinology, and Laryngology·Wai Yip Stephen Lau, Chun Kuen Chow
Citations
Mar 31, 2012·The Journal of Laryngology and Otology·D MitchellW B Coman
Sep 12, 2012·The Journal of Laryngology and Otology·E EstellerM Quer
Jul 4, 2013·Nihon Jibiinkoka Gakkai kaiho·Yukiko HanadaHiroshi Miyahara
Jan 26, 2011·Japanese Journal of Radiology·Bahar YanikM Akif Teber
Oct 24, 2013·World Neurosurgery·Allan D NanneyBernard R Bendok
Jun 22, 2010·Annales de chirurgie plastique et esthétique·F M P LeclèreM Schoofs
Dec 22, 2009·American Journal of Otolaryngology·Jing-Jing WangDe-Hui Wang
Jan 17, 2012·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Michael FuKetan R Bulsara
Mar 8, 2014·Head & Neck·Kun-Chih ChenKai-Li Liang
Jun 17, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Yuan-Hung WuYi-Wei Chen
May 28, 2015·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Daniela IancuAmin B Kassam
Mar 16, 2017·Neurology India·Pouya NazariManish K Kasliwal
Jul 22, 2010·The Journal of Craniofacial Surgery·Fatih BuyukcamKemal Aydin
Jul 29, 2020·Journal of Food Biochemistry·Shin-Hwar WuJin-Cherng Lien
Nov 21, 2018·BMC Cancer·Fangfang KongHongmei Ying
Mar 12, 2013·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·C CinarI Oran
Jul 1, 2017·NMC Case Report Journal·Masayasu AriharaNobuhiro Mikuni
May 6, 2021·Surgical Neurology International·Nakao OtaRokuya Tanikawa
Sep 2, 2021·Clinical Case Reports·Kosuke TakabayashiKatsumi Takizawa