Traumatic penetrating injuries to the internal carotid artery (ICA) resulting in the formation of a traumatic pseudoaneurysm are potentially devastating injuries. Previously treatment included, open surgical occlusion of the affected vessel or endovascular embolization. However, with the advent of flow diverter stents, endoluminal reconstruction has become a viable treatment option. In this case report we describe the successful managment of an ICA pseudoaneurysm due to a transorbital stab injury. Endoluminal reconstruction in a traumatic aneurysm is a feasible option. Considering the risk of hemorrhagic complications due to dual antiplatelet therapy required after flow diverter placement, this treatment should only be chosen if insufficient collateral supply is found and occlusion of the affected vessel is not a viable option.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clineuro.2020.105838DOI Listing

Publication Analysis

Top Keywords

endoluminal reconstruction
12
internal carotid
8
carotid artery
8
transorbital stab
8
stab injury
8
occlusion vessel
8
flow diverter
8
successful endoluminal
4
reconstruction pseudoaneurysm
4
pseudoaneurysm internal
4

Similar Publications

[Management of male posterior urethral stenosis following trauma and prostatic treatments, techniques and results].

Fr J Urol

November 2024

Department of Urology and Renal Transplantation, Assistance publique-Hôpitaux de Marseille, Hôpital de la Conception, Aix-Marseille Université, Marseille, France.

Article Synopsis
  • - The article focuses on Posterior Urethral Stenosis (PUS), discussing the surgical challenges and summarizing current management practices based on a review of literature and recommendations from key urological associations.
  • - The review highlights different types of PUS, such as those resulting from pelvic fractures, benign prostatic hyperplasia (BPH), prostatectomy, and radiotherapy, each presenting unique treatment challenges and risks.
  • - Treatment strategies for PUS are varied and should be tailored to the specific location and cause of the stenosis, balancing surgical options with the patient’s overall health and the potential impacts on urinary and sexual functions.
View Article and Find Full Text PDF

Agreement and reproducibility between 3DStent vs. Optical Coherence Tomography for evaluation of stent area and diameter.

Int J Cardiovasc Imaging

December 2024

Cardiovascular Clinic Institute, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Hospital Clínic, University of Barcelona, c/ Villarroel 170, Barcelona, 08036, Spain.

3DStent is a novel rotational angiography imaging capable of 3D reconstruction and measuring stent area and diameter, without need for intravascular imaging. To compare 3DStent and OCT-derived stent area and diameter after PCI. Patients with de novo coronary lesions who underwent treatment with a single DES and evaluated by OCT and 3DStent were included.

View Article and Find Full Text PDF

[Anastomotic leakage following surgical resection in the upper gastrointestinal tract].

Chirurgie (Heidelb)

November 2024

Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Tübingen, Eberhard Karls Universität, Hoppe-Seyler-Straße 3, 72076, Tübingen, Deutschland.

Article Synopsis
  • Surgical resection is a key part of treating stomach and esophagus cancers, but it can lead to serious issues like leakage when the body is put back together.
  • *Detecting these leaks quickly using methods like CT scans and endoscopy is really important for successful treatment.
  • *New endoscopic methods, especially the endoscopic vacuum therapy, have greatly improved how doctors handle these leaks, making recovery outcomes much better.
View Article and Find Full Text PDF

Full Circumferential Tracheal Replacement (FCTR) is a surgical challenge, indicated in rare cases of extensive tracheal resection, with no consensus on surgical technique or materials. A systematic review according to PRISMA guidelines was carried out from 2000 to 2022 to identify cases of FCTR, to compare surgical indications, the nature of the tracheal substitutes and their immunological characteristics, surgical replacement techniques and vascularization. Thirty-seven patients, including five children, underwent FCTR surgery using 4 different techniques: thyrotracheal complex allograft (n = 2), aorta (n = 12), autologous surgical reconstruction (n = 19), tissue-engineered decellularized trachea (n = 4).

View Article and Find Full Text PDF

Background: Intravascular ultrasound (IVUS) facilitates detailed visualization of endoluminal anatomy not adequately appreciated on conventional angiography. However, it is unclear if IVUS use improves clinical outcomes of peripheral vascular interventions (PVIs) for peripheral arterial disease. This study aimed to evaluate the impact of IVUS on 1-year outcomes of PVI in the vascular quality initiative (VQI).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!