Endovascular Treatment of Infectious Pseudoaneurysm of Internal Carotid Artery

Mang OuYang; Xiaofei Huang; Yang Wang

doi:10.1016/j.wneu.2019.01.147

Endovascular Treatment of Infectious Pseudoaneurysm of Internal Carotid Artery

World Neurosurg. 2019 May:125:42-43. doi: 10.1016/j.wneu.2019.01.147. Epub 2019 Feb 5.

Authors

Mang OuYang¹, Xiaofei Huang¹, Yang Wang²

Affiliations

¹ Nanchang University Medical College, Department of Neurosurgery, Nanchang City, Jiangxi Province, China; The First Affiliated Hospital of Nanchang University, Nanchang City, Jiangxi Province, China.
² The First Affiliated Hospital of Nanchang University, Nanchang City, Jiangxi Province, China. Electronic address: 13970966877@163.com.

PMID: 30731201
DOI: 10.1016/j.wneu.2019.01.147

Abstract

Background: Infectious pseudoaneurysm of the intracavernous carotid artery is rare, often caused by sphenoid sinusitis or transsphenoidal surgery. Management of intracranial infectious aneurysms (IIAs) remains a controversial topic lacking randomized controlled trials to guide clinical decision making.

Case description: For this case, we used an antibiotic to treat the patient in the initial stage. Because IIAs enlarge rapidly, endovascular treatment was performed in the emergency department.

Conclusions: Unfortunately, the patient died because the IIA recurred and ruptured. Therefore we speculated that stent-assisted coil placement for the treatment of ruptured infectious pseudoaneurysms of the internal carotid artery may not be safe.

Keywords: Digital subtraction angiography; Intracranial infectious aneurysm.

Publication types

Case Reports

MeSH terms

Aneurysm, False / diagnostic imaging*
Aneurysm, False / microbiology
Aneurysm, False / surgery*
Angiography, Digital Subtraction / methods
Carotid Artery, Internal / diagnostic imaging*
Carotid Artery, Internal / microbiology
Carotid Artery, Internal / surgery*
Endovascular Procedures / methods*
Fatal Outcome
Humans
Male
Middle Aged
Treatment Outcome