Massive epistaxis due to pseudoaneurysm. Treated with detachable balloons.
A case of massive epistaxis refractory to nasal packing and bilateral surgical ligation of the internal maxillary and ethmoidal arteries is presented. Angiography revealed a pseudoaneurysm of the cervical portion of the internal carotid artery, and intravascular detachable balloons were used for epistaxis control. The appropriate use of intravascular diagnostic and therapeutic techniques is described.
Crow
W N
WN
Department of Radiology, University of Texas Medical Branch, Galveston 77550-G09.
Scott
B A
BA
Guinto
F C
FC
Chaljub
G
G
Wright
G
G
Rabassa
A E
AE
Stiernberg
C M
CM
D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000628:therapy; D002340:Carotid Artery Diseases / Q000150:complications* / Q000628:therapy; D002343:Carotid Artery, Internal; D002404:Catheterization / Q000295:instrumentation; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004844:Epistaxis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male