American Journal of Neuroradiology, Vol 19, Issue 5 912-916, Copyright © 1998 by American Society of Neuroradiology
ARTICLES |
Percutaneous direct-puncture acrylic embolization of a pseudoaneurysm after failed carotid stenting for the treatment of acute carotid blowout
TC Roth, JC Chaloupka, CM Putman, DA Ross, EM Weaver, J Tarro, DM Wecht and CT Sasaki
Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, Conn 06510, USA.
We report a difficult case of recurrent carotid blowout syndrome in a patient who had a rupture of the common carotid artery with formation of a large pseudoaneurysm. Conventional management of this emergency, consisting of composite occlusion of the internal and common carotid arteries, was not possible owing to prior clinical failure of balloon test occlusion. This led to an initial attempt to cover the site of rupture with overlapping self-expanding stents, which was only temporarily successful in controlling the hemorrhage. When a subsequent episode of carotid rupture with life-threatening hemorrhage occurred, percutaneous direct-puncture acrylic embolization with temporary flow arrest was used to successfully obliterate the pseudoaneurysm.
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