Massive epistaxis due to pseudoaneurysm. Treated with detachable balloons.

A case of massive epistaxis refractory to nasal packing and bilateral surgical ligation of the internal maxillary and ethmoidal arteries is presented. Angiography revealed a pseudoaneurysm of the cervical portion of the internal carotid artery, and intravascular detachable balloons were used for epistaxis control. The appropriate use of intravascular diagnostic and therapeutic techniques is described.

[1]  R. Higashida,et al.  Intracranial aneurysms: interventional neurovascular treatment with detachable balloons--results in 215 cases. , 1991, Radiology.

[2]  M. Schumacher,et al.  Uncontrollable epistaxis. Angiographic localization and embolization. , 1990, Archives of otolaryngology--head & neck surgery.

[3]  M. Persky,et al.  Embolization in the treatment of epistaxis after failure of internal maxillary artery ligation , 1989, The Laryngoscope.

[4]  Y. C. Wang,et al.  Traumatic intracavernous carotid aneurysm with massive epistaxis. , 1985, Neurosurgery.

[5]  B. Worthington,et al.  NMR imaging in the recognition of giant intracranial aneurysms. , 1983, AJNR. American journal of neuroradiology.

[6]  Louis Wang,et al.  Posterior Epistaxis: Comparison of Treatment , 1981, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[7]  T. H. Newton,et al.  Traumatic aneurysms of cavernous internal carotid artery with secondary epistaxis. , 1981, AJNR. American journal of neuroradiology.

[8]  H. Handa,et al.  Severe epistaxis caused by traumatic aneurysm of cavernous carotid artery. , 1976, Surgical neurology.

[9]  H. Juselius.  Epistaxis a clinical study of 1,724 patients , 1974, The Journal of Laryngology & Otology.

[10]  H. Handa,et al.  Traumatic aneurysm of the intracranial extradural portion of the internal carotid artery. Report of a case. , 1965, Journal of neurosurgery.

[11]  J. Evans.  The ætiology and Treatment of Epistaxis: Based on a Review of 200 Cases , 1962, The Journal of Laryngology & Otology.

[12]  W. J. German,et al.  Triad of unilateral blindness, orbital fractures and massive epistaxis after head injury. , 1961, Journal of Neurosurgery.

[13]  D. M. Seftel,et al.  Ruptured intracranial carotid artery aneurysm with fatal epistaxis. , 1959, A.M.A. archives of otolaryngology.

[14]  Deutsche Medizinische,et al.  Tödliche Spätblutung aus der Carotis interna nach Schädeltrauma , 1924 .

[15]  R. Bryan,et al.  Emergency balloon occlusion for massive epistaxis due to traumatic carotid-cavernous aneurysm. Case report. , 1988, Journal of neurosurgery.

[16]  D. Pelz,et al.  Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. , 1987, Journal of neurosurgery.

[17]  G. Gücer,et al.  Traumatic internal carotid artery aneurysm with rupture into the sphenoid sinus. , 1986, Surgical neurology.

[18]  D. Graeb,et al.  Transvascular treatment of giant aneurysms of the cavernous carotid and vertebral arteries. Functional investigation and embolization. , 1984, Surgical neurology.

[19]  V. I. Shcheglov,et al.  Intravascular Occlusion of Saccular Aneurysms of the Cerebral Arteries by Means of a Detachable Balloon Catheter , 1982 .

[20]  T. Sundt,et al.  Treatment of intracavernous and giant carotid aneurysms by combined internal carotid ligation and extra- to intracranial bypass. , 1980, Journal of neurosurgery.

[21]  C. Drake.  Giant intracranial aneurysms: experience with surgical treatment in 174 patients. , 1979, Clinical neurosurgery.