Pseudoaneurysm of the internal carotid artery after shrapnel injury in World War II: demonstration by CT angiography with 3D MIP reconstruction.
A case of pseudoaneurysm of the left internal carotid artery (ICA) after shrapnel injury is demonstrated by intra-arterial digital subtraction angiography (DSA) and computed tomography angiography (CTA) with subtraction technique. Although the pseudoaneurysm was well demonstrated by intra-arterial DSA, CTA was the only modality to demonstrate the three-dimensional shape of the perfused part of pseudoaneurysm and the aneurysmal neck, which affected the therapeutic strategy. The CTA technique is useful in the assessment of large pseudoaneurysms and for therapeutic planning.
Prokesch
R W
RW
Department of Radiology, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria.
Goerzer
H G
HG
Killer
M
M
Dorffner
R
R
Schima
W
W
Schindler
E G
EG
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging*; D015901:Angiography, Digital Subtraction; D001161:Arteriosclerosis / Q000000981:diagnostic imaging; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D014857:Warfare; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging*