title: Endovascular treatment of internal carotid artery pseudo-aneurysm presenting with epistaxis. A case report.
abstract: Recurrent epistaxis is a rare presentation of internal carotid artery C4/C5 segment pseudo-aneurysm rupture. We describe a case of a traumatic internal carotid artery pseudo-aneurysm with recurrent epistaxis as a leading symptom that was finally managed with endovascular treatment with stent-assisted coil placement. Clopidogrel and acetylsalicylic acid orally were introduced in the therapy for further stent thrombosis prevention and epistaxis did not recur on six-month follow-up. Endovascular treatment with stent-assisted coil placement seems to be a good method for pseudo-aneurysm treatment while keeping the lumen of the parent artery patent.
authors.affiliation: Department of Neurology, University Hospital Centre Zagreb; Zagreb, Croatia - antonelabazina@gmail.com.
authors.forename: Antonela
authors.initials: A
authors.lastname: Bazina
authors.affiliation: Department of Neurology, University Hospital Centre Zagreb; Zagreb, Croatia.
authors.forename: Antonija
authors.initials: A
authors.lastname: Mišmaš
authors.affiliation: Department of Neurology, General Hospital Zabok; Zabok, Croatia.
authors.forename: Zlatko
authors.initials: Z
authors.lastname: Hucika
authors.affiliation: Clinical Institute of Diagnostic and Interventional Radiology, University Hospital Centre Zagreb; Zagreb, Croatia.
authors.forename: Goran
authors.initials: G
authors.lastname: Pavliša
authors.affiliation: Department of Neurology, University Hospital Centre Zagreb; Zagreb, Croatia.
authors.forename: Zdravka
authors.initials: Z
authors.lastname: Poljaković
mesh_terms: D015901:Angiography, Digital Subtraction; D001241:Aspirin / Q000627:therapeutic use; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002343:Carotid Artery, Internal; D000077144:Clopidogrel; D057510:Endovascular Procedures / Q000379:methods*; D004844:Epistaxis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012008:Recurrence; D015607:Stents; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin
keywords: endovascular treatment; epistaxis; internal carotid artery; pseudo-aneurysm