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Interv Neuroradiol

Title:		A recurred carotid siphon pseudoaneurysm after detachable coil embolization. Successfull endovascular management with detachable balloons
Author(s):		Lee DH; Hur SH; Choi SJ; Jung SM; Ryu DS; Park MS; Lee SY;
Address:		"Department of Diagnostic Radiology, Kangnung Hospital, College of Medicine University of Ulsan, Korea - dhlee@knh.co.kr"
Journal Title:		Interv Neuroradiol
Year:		2002
Volume:		20041020
Issue:		1
Page Number:		61 - 65
DOI:		10.1177/159101990200800111
ISSN/ISBN:		1591-0199 (Print) 1591-0199 (Linking)
Abstract:		"Massive posterior epistaxis is one of the peculiar symptoms of pseudoaneurysms of the carotid siphon. We experienced a case of trauma- related pseudoaneurysm of the carotid siphon. The lesion was initially silent except for the mass effect. We initially treated the lesion with platinum detachable coil embolization of the pseudoaneurysm sac with preservation of the parent artery. However, the patient had delayed massive epistaxis with recurrence of the pseudoaneurysm. The patient was subsequently managed with endovascular occlusion of the affected internal carotid artery using detachable balloons. Complete internal carotid artery trapping is recommended as an initial treatment modality if the patient can tolerate to the occlusion test. Careful observation and follow-up of the patient is required if the lesion is inevitably managed with coil embolization of the pseudoaneurysm sac alone"
Keywords:
Notes:		"PubMed-not-MEDLINELee, D H Hur, S H Choi, S J Jung, S M Ryu, D S Park, M S Lee, S Y eng 2002/03/30 Interv Neuroradiol. 2002 Mar 30; 8(1):61-5. doi: 10.1177/159101990200800111. Epub 2004 Oct 20"