Endovascular Embolization of Post-tonsillectomy Pseudoaneurysm: A Single-Center Case Series
Creators
- 1. Cairo University, Interventional Radiology Unit, Radiology Department, Faculty of Medicine, Kasr Alainy Hospital (Egypt)
- 2. Cairo University, Department of Otolaryngology, Faculty of Medicine (Egypt)
Description
Objective
The aim of this study was to evaluate the efficacy and safety of endovascular embolization of post-tonsillectomy pseudoaneurysm with the usage of monomeric n-butyl-2-cyanoacrylate (NBCA) glue as a first intention.Methods
We retrospectively analyzed the technical details and clinical outcome of ten consecutive children presented with delayed post-tonsillectomy bleeding, caused by lingual or facial artery pseudoaneurysm, which was treated by endovascular embolization.
Results
Seven patients had lingual artery pseudoaneurysm, and three patients had injury of a common linguo-facial trunk. Eight patients were treated by endovascular embolization using NBCA glue, and two patients had to be embolized using microcoils. All patients were successfully embolized with no clinical complications. One patient suffered from bleeding during the interventional procedure that was controlled by NBCA which infiltrated normal branches with no clinical sequelae.
Conclusion
NBCA glue can be used as an effective appropriate embolizing material in endovascular embolization of post-tonsillectomy pseudoaneurysm. However, certain precautions are mandatory to avoid distal infiltration of normal arteries or proximal reflux that may endanger the internal carotid artery. Level of Evidence:
Level 4, case series.
Additional details
Identifiers
Publishing Information
- Journal Title
- Cardiovascular and Interventional Radiology
- Journal Volume
- 42
- Journal Issue
- 4
- Journal Page Range
- p. 528-533
- ISSN
- 0174-1551
- CODEN
- CAIRDG
INIS
- Country of Publication
- United States
- Country of Input or Organization
- International Atomic Energy Agency (IAEA)
- INIS RN
- 51117680
- Subject category
- S62: RADIOLOGY AND NUCLEAR MEDICINE;
- Descriptors DEI
- BIOMEDICAL RADIOGRAPHY; CAROTID ARTERIES; CHILDREN; HEMORRHAGE; INJURIES; LIPIODOL; PATIENTS; PHARYNX; SURGERY; VASCULAR DISEASES
- Descriptors DEC
- AGE GROUPS; ANIMALS; ARTERIES; BLOOD VESSELS; BODY; CARDIOVASCULAR DISEASES; CARDIOVASCULAR SYSTEM; CONTRAST MEDIA; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; DISEASES; MAMMALS; MAN; MEDICINE; NUCLEAR MEDICINE; OILS; ORGANIC COMPOUNDS; ORGANIC HALOGEN COMPOUNDS; ORGANIC IODINE COMPOUNDS; ORGANS; OTHER ORGANIC COMPOUNDS; PATHOLOGICAL CHANGES; PRIMATES; RADIOLOGY; RESPIRATORY SYSTEM; SYMPTOMS; VERTEBRATES
Optional Information
- Copyright
- Copyright (c) 2019 Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE)