Endovascular Treatment of a Carotid Artery Pseudoaneurysm in a Contaminated Wound: Report of a Case

We herein report a case of carotid artery pseudoaneurysm following intensive treatment for hypopharyngeal carcinoma. An81-year-old male had undergone surgery and concurrent chemoradiotherapy to treat hypopharyngeal carcinoma (T4aN1M0).This treatment led to a complete response, but pseudoaneurysms we...

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Published inActa Medica Nagasakiensia Vol. 57; no. 2; pp. 65 - 68
Main Authors YAMAGUCHI, Nimpei, KANEKO, Kenichi, IWANAGA, Tetsu, KOMURO, Satoru, TAKAHASHI, Haruo
Format Journal Article
LanguageEnglish
Published Nagasaki University School of Medicine 2012
Subjects
carotid artery
Pseudoaneurysm
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Summary:We herein report a case of carotid artery pseudoaneurysm following intensive treatment for hypopharyngeal carcinoma. An81-year-old male had undergone surgery and concurrent chemoradiotherapy to treat hypopharyngeal carcinoma (T4aN1M0).This treatment led to a complete response, but pseudoaneurysms were formed at the external carotid artery in a contaminatedwound. One of the pseudoaneurysms was located close to the bifurcation and thus caused intractable hemorrhaging. We performedendovascular treatment to achieve hemostasis. One year after the embolization, surgical removal of the endovasculardevices from the infected area was performed. Three years have passed since the removal, and the patient is still alive withoutany complications. Primary endovascular treatment of an infected pseudoaneurysm could be an effective option for the treatmentof acute lethal hemorrhaging.
ISSN:0001-6055
DOI:10.11343/amn.57.65