Mitchell W. Cox, MD, David R

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Presentation transcript:

Traumatic pseudoaneurysms of the head and neck: Early endovascular intervention Mitchell W. Cox, MD, David R. Whittaker, MD, Christopher Martinez, MD, Charles J. Fox, MD, Irwin M. Feuerstein, MD, David L. Gillespie, MD Journal of Vascular Surgery Volume 46, Issue 6, Pages 1227-1233 (December 2007) DOI: 10.1016/j.jvs.2007.08.021 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Patients with blast injury may have hundreds of small projectiles imbedded throughout the face and neck, across all three of the traditional zones. Journal of Vascular Surgery 2007 46, 1227-1233DOI: (10.1016/j.jvs.2007.08.021) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 A patient with a recent gunshot wound to the face presented with massive hemorrhage from the mouth. He was intubated and taken urgently to the operating room for coil embolization. Journal of Vascular Surgery 2007 46, 1227-1233DOI: (10.1016/j.jvs.2007.08.021) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 A, This lingual artery pseudoaneurysm (arrow) was easily found on computed tomography angiography, but (B) was not imaged by the initial carotid angiogram. C, Selection of the lingual artery was necessary to adequately demonstrate the pathology. Journal of Vascular Surgery 2007 46, 1227-1233DOI: (10.1016/j.jvs.2007.08.021) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 A, A vertebral artery pseudoaneurysm before and (B) after being treated by stent grafting. Journal of Vascular Surgery 2007 46, 1227-1233DOI: (10.1016/j.jvs.2007.08.021) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions