Management of head and neck pseudoaneurysms: a review of 33 consecutive cases.
Publication/Presentation Date
1-1-2014
Abstract
BACKGROUND: Endosaccular coiling, vessel occlusion, stenting, stent-assisted coiling, and flow diversion are all endovascular treatment options for pseudoaneurysms (PAs) of the head and neck. We explore different clinical situations in which these were selected for PA management at a single institution.
METHODS: Over a period of ten years, 33 patients presented to our hospital with PAs of the head and neck. Their outcomes and procedural complications are discussed.
RESULTS: We observed a complication rate of 18.2% (6 of 33), consisting predominantly of infarcts following vessel occlusion. As measured by the modified Rankin Scale, 25 (75.8%) patients had achieved favorable outcomes on discharge. A single patient who was treated with stent-assisted coiling expired following procedural complications.
CONCLUSIONS: In our series, most patients with traumatic/iatrogenic PAs were successfully treated with parent vessel sacrifice. When parent vessel occlusion is not an option, stenting with or without coiling, or flow diversion, may also be safe and effective alternatives.
Volume
2014
First Page
419803
Last Page
419803
ISSN
1537-744X
Published In/Presented At
Anderson, E., Chalouhi, N., Dumont, A., Tjoumakaris, S., Zanaty, M., Rosenwasser, R., Starke, R. M., & Jabbour, P. (2014). Management of head and neck pseudoaneurysms: a review of 33 consecutive cases. TheScientificWorldJournal, 2014, 419803. https://doi.org/10.1155/2014/419803
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
25401139
Department(s)
Administration and Leadership
Document Type
Article