Epistaxis revealing the rupture of a carotid aneurysm of the cavernous sinus extending into the sphenoid: treatment using an uncovered stent and coils. Review of literature.
True carotid aneurysms with sphenoid extension and revealed by epistaxis are rare. A review of the literature shows the mortality risk of this pathology and the different therapeutic options. A 41-year-old female presented with a cavernous carotid aneurysm with sphenoid extension revealed by massive epistaxis. We propose a combined treatment of the affected vessel using coils and an uncovered stent. The first stage to stop the hemorrhages and occlude the aneurysm using the coil and the second stage several days later after anticoagulation using the stent to prevent revascularization. This treatment has been shown to be effective in producing immediate hemostasis and stable long-term occlusion.
Lehmann
Pierre
P
Department of Neuroradiology, Amiens University Hospital, 1 Place Victor Pauchet, 80054, Amiens Cedex 1, France. lehmann.pierre@chu-amiens.fr
Saliou
Guillaume
G
Page
Cyril
C
Balut
Antonia
A
Le Gars
Daniel
D
Vallée
Jean Noel
JN
D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D000792:Angiography; D002340:Carotid Artery Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D002346:Carotid Sinus; D004844:Epistaxis / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D013101:Sphenoid Sinus; D015607:Stents