title: Branch ligatures and blood aspiration for post-traumatic superficial temporal artery pseudoaneurysm: surgical technique.
abstract: The aim of this study is to report a new minimally invasive technique of superficial temporal artery (STA) pseudoaneurysm treatment. Several surgical options have been employed to treat STA pseudoaneurysms. To address this rare condition, the employed techniques are ligation and excision of the aneurysm, endovascular coil embolization or percutaneous ultrasound-guided thrombin injection. Between techniques no significant differences are reported in terms of outcomes. The decision to adopt a technique depends on STA pseudoaneurysm morphology and surgeon preference. In the present report, STA pseudoaneurysm afferent and efferent branches were identified by ultrasound in a 92-year-old female. Under local anaesthesia, these branches were ligated through small skin incisions. STA pseudoaneurysm decompression was obtained by an 'over the needle aspiration'. A compressive dressing was left in space for 48 h.
authors: Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
authors: Zoran
authors: Z
authors: Rancic
authors: Felice
authors: F
authors: Pecoraro
authors: Gianluigi
authors: G
authors: Nigro
authors: Roger
authors: R
authors: Simon
authors: Thomas
authors: T
authors: Frauenfelder
authors: Dieter
authors: D
authors: Mayer
authors: Mario
authors: M
authors: Lachat
mesh_terms: D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D006259:Craniocerebral Trauma / Q000150:complications; D005260:Female; D006801:Humans; D008026:Ligation; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D013699:Temporal Arteries / Q000601:surgery*
references: Surg Neurol. 2006 Jul;66(1):86-8
references: 16793454
references: J Vasc Interv Radiol. 2000 Apr;11(4):461-3
references: 10787204
references: Pediatr Radiol. 2007 Jun;37(6):578-80
references: 17404724
references: J Oral Maxillofac Surg. 2000 Jul;58(7):819-21
references: 10883703
references: Cardiovasc Intervent Radiol. 2007 Mar-Apr;30(2):286-8
references: 16988876
references: Acta Neurochir (Wien). 2004 Sep;146(9):1039-41; discussion 1041
references: 15340817
references: Neurosurgery. 1988 Oct;23(4):499-500
references: 3200382
references: J Vasc Surg. 1988 Nov;8(5):606-10
references: 3054173
references: J Hand Surg Am. 2004 Sep;29(5):936-42
references: 15465248
references: AJNR Am J Neuroradiol. 2003 Jan;24(1):147-50
references: 12533345