title: Cervical-petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques.
abstract: Cervical-petrous internal carotid artery (CP-ICA) pseudoaneurysms are rare and have different etiologies, presentations, and treatment options. A middle-aged patient with a history of chronic otitis media presented with acute otorrhagia and was found to have a left-sided CP-ICA pseudoaneurysm. The patient was a poor surgical candidate with difficult arterial access. The pseudoaneurysm was treated with stand-alone coiling via a left brachial approach with persistent contrast filling seen only in the aneurysm neck at the end of the procedure. The patient re-presented 12 days later with repeat hemorrhage and rapid enlargement of the neck remnant, and was treated with a covered stent via a transcervical common carotid artery cut-down. A covered stent may provide a more definitive treatment for CP-ICA pseudoaneurysms compared with standalone coiling.
authors: Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, USA.
authors: Justin R
authors: JR
authors: Mascitelli
authors: Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, USA.
authors: Reade A
authors: RA
authors: De Leacy
authors: Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, USA.
authors: Eric K
authors: EK
authors: Oermann
authors: Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, USA.
authors: Branko
authors: B
authors: Skovrlj
authors: Department of Otorhinolaryngology, Icahn School of Medicine at Mount Sinai, New York, USA.
authors: Eric E
authors: EE
authors: Smouha
authors: Department of Vascular Surgery, Icahn School of Medicine at Mount Sinai, New York, USA.
authors: Sharif H
authors: SH
authors: Ellozy
authors: Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, USA.
authors: Aman B
authors: AB
authors: Patel
mesh_terms: D000792:Angiography; D020212:Carotid Artery Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D002908:Chronic Disease; D004423:Ear; D057510:Endovascular Procedures / Q000379:methods*; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010033:Otitis Media / Q000150:complications / Q000601:surgery; D010579:Petrous Bone / Q000000981:diagnostic imaging; D015607:Stents; D014057:Tomography, X-Ray Computed; D014433:Tympanoplasty
keywords: Aneurysm; Coil; Stent