title: Flow-diverter stenting in post-traumatic pseudoaneurysm of cavernous internal carotid artery with epistaxis.
abstract: This paper is a case report of a young patient after a major head trauma causing multiple skull base fractures. The trauma occasioned pseudoaneurysm (PSA) from intracavernous C4 segment of left internal carotid artery (ICA) protruding in the sphenoidal sinus. After two months, two episodes of massive epistaxis occurred. Consequently, the post-traumatic PSA was treated, after carotid occlusion test, with flow-diverter stent positioning. A computed tomography angiography study performed in the following days showed complete resolution of the post-traumatic PSA lesion and ICA patency.
authors.affiliation: Radiology Department, Ospedale di Circolo Varese, Varese, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Giorgianni
authors.affiliation: Radiology Department, Ospedale di Circolo Varese, Varese, Italy pellegrino.carlo82@gmail.com.
authors.forename: Carlo
authors.initials: C
authors.lastname: Pellegrino
authors.affiliation: Radiology Department, Ospedale di Circolo Varese, Varese, Italy.
authors.forename: Renzo
authors.initials: R
authors.lastname: Minotto
authors.affiliation: Radiology Department, Ospedale di Circolo Varese, Varese, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Mercuri
authors.affiliation: Radiology Department, Ospedale di Circolo Varese, Varese, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Baruzzi
authors.affiliation: Radiology Department, Ospedale di Circolo Varese, Varese, Italy.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Cantoni
authors.affiliation: Radiology Department, Ospedale di Circolo Varese, Varese, Italy.
authors.forename: Larissa Nocchi
authors.initials: LN
authors.lastname: Cardim
authors.affiliation: Radiology Department, Ospedale di Circolo Varese, Varese, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Valvassori
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000379:methods*; D004844:Epistaxis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D012887:Skull Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D015607:Stents; D055815:Young Adult
keywords: Flow-diverter stenting; internal carotid artery; post-traumatic pseudoaneurysm