Endovascular Therapy for a Post-irradiated Cervical Pseudoaneurysm at the Carotid Stump: A Case Report

A nearly 80-year-old man with a history of radiotherapy (RT) and total laryngectomy for laryngeal cancer 25 years previously presented with a rapidly growing mass on the right side of his neck. A huge pseudoaneurysm (pseudoAN) was detected at the right carotid bifurcation, though angiography perform...

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Detalles Bibliográficos
Autores principales: Arihara, Masayasu, Miyata, Kei, Iihoshi, Satoshi, Yamaguchi, Hiroyuki, Toyama, Kentaro, Komatsu, Katsuya, Hashimoto, Atsumu, Wanibuchi, Masahiko, Mikuni, Nobuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5453302/
https://www.ncbi.nlm.nih.gov/pubmed/28664029
http://dx.doi.org/10.2176/nmccrj.cr.2016-0205
Descripción
Sumario:A nearly 80-year-old man with a history of radiotherapy (RT) and total laryngectomy for laryngeal cancer 25 years previously presented with a rapidly growing mass on the right side of his neck. A huge pseudoaneurysm (pseudoAN) was detected at the right carotid bifurcation, though angiography performed four years previously had shown total occlusion of the internal carotid artery. Stent-assisted coil embolization enabled aneurysm sac shrinkage. Clinicians must be aware that the stump of an arterial occlusion associated with RT can change into a pseudoAN over the long term and must provide follow-up in such cases.

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