21
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Posttraumatic Pseudoaneurysm in Scalp Treated by Direct Puncture Embolization Using N-Butyl-2-Cyanoacrylate: a Case Report

      case-report
      , MD 1 , , MD 2 ,
      Korean Journal of Radiology
      The Korean Radiological Society
      Scalp, Pseudoaneurysm, Embolization

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Here, we report a case of scalp pseudoaneurysm which was treated by direct puncture embolization using n-butyl-2-cyanoacrylate. The patient had a history of blunt trauma in the previous two months. Ultrasound-guided manual compression was initially attempted, but the results were unsatisfactory. Direct puncture embolization was then performed, and the pseudoaneurysm was completely obliterated. Non-surgical treatment options for pseudoaneurysm are briefly discussed.

          Related collections

          Most cited references9

          • Record: found
          • Abstract: found
          • Article: not found

          Traumatic aneurysms of the face and temple: a patient report and literature review, 1644 to 1998.

          The branches of the external carotid artery are protected from injury in most locations by an adequate buffer of soft tissue. On occasion, the vessels approach the surface to cross bone structures, and in these key areas they become vulnerable to blunt trauma. The facial, superficial temporal, and terminal branches of the internal maxillary arteries are the branches most often affected via this mechanism of injury. In addition, damage to deeper branches of the internal maxillary artery and to the subparotid portion of the superficial temporal artery has been reported secondary to maxillary fractures and craniofacial surgery. A brief patient report illustrates the highlights of clinical examination, diagnostic study, and surgical management of an aneurysm of the facial artery. A review of the world literature since 1644 has revealed 386 patients with traumatic aneurysms of the face and temple.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Percutaneous ultrasound guided thrombin injection: a new method for treating postcatheterization femoral pseudoaneurysms.

            Since its introduction in 1991, ultrasound guided compression repair of postcatheterization femoral artery pseudoaneurysms has been shown to be effective. Disadvantages of ultrasound guided compression repair include patient discomfort during compression, inability to treat noncompressible pseudoaneurysms, prolonged use of ultrasound equipment and personnel, limited success with patients being treated with anticoagulants, and some early recurrences. We conducted a prospective study to evaluate a new method of treating femoral pseudoaneurysms, percutaneous ultrasound guided thrombin injection. Under duplex ultrasound guidance, a 22- or 25-gauge needle was percutaneously positioned within the pseudoaneurysm. Without compressing the pseudoaneurysm, 0.5 to 1 ml thrombin solution (1000 U/ml) was injected to induce thrombosis. Early in the study, the procedure was modified to allow more than one injection. After successful thrombosis, the patients were kept at rest in bed for at least 1 hour. Duplex ultrasound examination was repeated in 1 to 4 days. Distal pulses and ankle-brachial indexes were measured before and after the procedure. Twenty of 21 consecutive pseudoaneurysms were successfully treated with thrombin injection. Fifteen pseudoaneurysms thrombosed immediately (<20 seconds) after one injection. The other five had partial thrombosis after one injection and complete thrombosis immediately after a second injection. The one failure occurred in a patient who had only one injection and then underwent subsequent ultrasound guided compression repair, which failed. No patient required sedation or analgesia during thrombin injection. There were no procedure-related complications and no recurrences. Percutaneous ultrasound guided thrombin injection appears to be a safe and expeditious method for treating postcatheterization femoral pseudoaneurysms. It has significant advantages with respect to ultrasound guided compression repair or surgical repair.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Pseudoaneurysms of the superficial temporal artery: treatment options.

              Pseudoaneurysms of the superficial temporal artery present as slowly growing masses of the face or scalp. They may arise as a result of infection or autoimmune disease but most commonly are sequelae of blunt, penetrating, or surgical trauma. We describe their clinical presentation and differential diagnosis and compare several treatment options. Observational case series. We retrospectively reviewed the presentations, diagnostic evaluations, and management in three young men who presented with pseudoaneurysms after trauma. A computerized review of the world's literature revealed a variety of methods for the control of head and neck pseudoaneurysms. Surgical resection, ligation without resection, intravascular sclerosis, and coil embolization have all been used to treat these lesions. We treated two lesions by coil embolization and one by surgical resection. Long-term control was achieved in each case. Surgical resection cures pseudoaneurysms in most cases. The frontal and zygomatic branches of the facial nerve are at risk during this procedure. Local sclerosis is effective but may cause distal tissue necrosis. Coil embolization is highly effective and leaves no facial scar but carries small risks of stroke, lower extremity ischemia, and groin pseudoaneurysm.
                Bookmark

                Author and article information

                Journal
                Korean J Radiol
                KJR
                Korean Journal of Radiology
                The Korean Radiological Society
                1229-6929
                2005-8330
                Jan-Mar 2005
                31 March 2005
                : 6
                : 1
                : 37-40
                Affiliations
                [1 ]Department of Neurosurgery, Seoul National University Boramae Hospital, Seoul, Korea.
                [2 ]Department of Radiology, Seoul National University Boramae Hospital, Seoul, Korea.
                Author notes
                Address reprint requests to: Young Ho Choi, MD, Department of Radiology, Seoul National University Boramae Hospital, 425 Shindaebang-2-dong, Dongjak-gu, Seoul 156-707, Korea. Tel. (822) 840-2671, Fax. (822) 831-2826, cyho50168@ 123456radiol.snu.ac.kr
                Article
                10.3348/kjr.2005.6.1.37
                2684995
                15782018
                6f6f64e8-6b9a-425b-aa9c-063b6c057cfc
                Copyright © 2005 The Korean Radiological Society

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 November 2004
                : 16 February 2005
                Categories
                Case Report

                Radiology & Imaging
                scalp,embolization,pseudoaneurysm
                Radiology & Imaging
                scalp, embolization, pseudoaneurysm

                Comments

                Comment on this article