Cervical–petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques. (30th June 2014)

• Record Type: Journal Article
• Authors: Mascitelli, Justin R; De Leacy, Reade A; Oermann, Eric K; Skovrlj, Branko; Smouha, Eric E; Ellozy, Sharif H; Patel, Aman B
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-06-30
• Subjects: Aneurysm -- Coil -- Stent; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-011286
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Cervical–petrous internal carotid artery (CP-ICA) pseudoaneurysms are rare and have different etiologies, presentations, and treatment options. A middle-aged patient with a history of chronic otitis media presented with acute otorrhagia and was found to have a left-sided CP-ICA pseudoaneurysm. The patient was a poor surgical candidate with difficult arterial access. The pseudoaneurysm was treated with stand-alone coiling via a left brachial approach with persistent contrast filling seen only in the aneurysm neck at the end of the procedure. The patient re-presented 12 days later with repeat hemorrhage and rapid enlargement of the neck remnant, and was treated with a covered stent via a transcervical common carotid artery cut-down. A covered stent may provide a more definitive treatment for CP-ICA pseudoaneurysms compared with standalone coiling.