title: Massive epistaxis after rupture of intracavernous carotid artery aneurysm. Case report.
abstract: We present a case of massive epistaxis caused by an internal carotid artery aneurysm. The initial treatment with endovascular balloon embolization failed as a result of balloon displacement. After rebleeding, the intracavernous aneurysm was treated with an endovascular detachable balloon embolization technique, which resulted in cessation of epistaxis. The different treatment options for interventional radiology and management of ruptured carotid artery aneurysms are discussed.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, St Elisabeth Hospital, University of Bochum, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Sudhoff
authors.forename: T
authors.initials: T
authors.lastname: Stark
authors.forename: S
authors.initials: S
authors.lastname: Knorz
authors.forename: H
authors.initials: H
authors.lastname: Luckhaupt
authors.forename: G
authors.initials: G
authors.lastname: Borkowski
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D002340:Carotid Artery Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D002404:Catheterization / Q000009:adverse effects; D002426:Cavernous Sinus; D002533:Cerebral Angiography; D004844:Epistaxis / Q000000981:diagnostic imaging / Q000209:etiology*; D004868:Equipment Failure; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D008875:Middle Aged; D012008:Recurrence; D019233:Retreatment; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure