Management of head and neck pseudoaneurysms: a review of 33 consecutive cases.

Authors

Eliza Anderson, Department of Neurological Surgery, Thomas Jefferson UniversityFollow
Nohra Chalouhi, MD, Department of Neurological Surgery, Thomas Jefferson UniversityFollow
Aaron Dumont, Department of Neurological Surgery, Thomas Jefferson UniversityFollow
Stavropoula Tjoumakaris, Department of Neurological Surgery, Thomas Jefferson UniversityFollow
Mario Zanaty, Department of Neurological Surgery, Thomas Jefferson UniversityFollow
Robert H. Rosenwasswer MD, Department of Neurological Surgery, Thomas Jefferson UniversityFollow
Robert M Starke, Department of Neurological Surgery, University of VirginiaFollow
Pascal Jabbour MD, Department of Neurological Surgery, Thomas Jefferson UniversityFollow

Document Type

Article

Publication Date

10-27-2014

Comments

This article has been peer reviewed. It was published in: Scientific World Journal.

Volume 2014, 2014, Article number 419803.

The published version is available at DOI: 10.1155/2014/419803

Copyright © 2014 Eliza Anderson et al.

Abstract

Background. Endosaccular coiling, vessel occlusion, stenting, stent-assisted coiling, and flow diversion are all endovascular treatment options for pseudoaneurysms (PAs) of the head and neck. We explore different clinical situations in which these were selected for PA management at a single institution. Methods. Over a period of ten years, 33 patients presented to our hospital with PAs of the head and neck. Their outcomes and procedural complications are discussed. Results. We observed a complication rate of 18.2% (6 of 33), consisting predominantly of infarcts following vessel occlusion. As measured by the modified Rankin Scale, 25 (75.8%) patients had achieved favorable outcomes on discharge. A single patient who was treated with stent-assisted coiling expired following procedural complications. Conclusions. In our series, most patients with traumatic/iatrogenic PAs were successfully treated with parent vessel sacrifice. When parent vessel occlusion is not an option, stenting with or without coiling, or flow diversion, may also be safe and effective alternatives.

Recommended Citation

Anderson, Eliza; Chalouhi, MD, Nohra; Dumont, Aaron; Tjoumakaris, Stavropoula; Zanaty, Mario; Rosenwasswer MD, Robert H.; Starke, Robert M; and Jabbour, Pascal MD, "Management of head and neck pseudoaneurysms: a review of 33 consecutive cases." (2014). Department of Neurosurgery Faculty Papers. Paper 68.
https://jdc.jefferson.edu/neurosurgeryfp/68

PubMed ID

25401139