title: Thrombin injection failure with subsequent successful stent-graft placement for the treatment of an extracranial internal carotid pseudoaneurysm in a 5-year-old child.
abstract: Internal carotid artery pseudoaneurysm is a rare life-threatening condition that may develop in different clinical situations. We report the case of an extracranial internal carotid artery pseudoaneurysm secondary to a throat infection in a pediatric patient that was initially treated with percutaneous thrombin injection under ultrasound guidance. However, recanalization occurred at 48 h, and definitive treatment was then performed by endovascular stent-graft placement. We briefly review the clinical characteristics of this uncommon clinical condition as well as the treatment options.
authors.forename: R D
authors.initials: RD
authors.lastname: Garcia-Monaco
authors.forename: A A
authors.initials: AA
authors.lastname: Kohan
authors.forename: M P
authors.initials: MP
authors.lastname: Martinez-Corvalan
authors.forename: N
authors.initials: N
authors.lastname: Cacchiarelli
authors.forename: O
authors.initials: O
authors.lastname: Peralta
authors.forename: C G
authors.initials: CG
authors.lastname: Wahren
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage; D012008:Recurrence; D015607:Stents; D013917:Thrombin / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler; D018084:Ultrasonography, Interventional
chemical_list: D000900:Anti-Bacterial Agents; D010975:Platelet Aggregation Inhibitors; D013917:Thrombin