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Title: Endovascular treatment of internal carotid artery pseudo-aneurysm presenting with epistaxis. A case report.
Author: Bazina A, Mišmaš A, Hucika Z, Pavliša G, Poljaković Z.
Journal: Interv Neuroradiol; 2014 Dec; 20(6):743-5. PubMed ID: 25496685.
Abstract:
Recurrent epistaxis is a rare presentation of internal carotid artery C4/C5 segment pseudo-aneurysm rupture. We describe a case of a traumatic internal carotid artery pseudo-aneurysm with recurrent epistaxis as a leading symptom that was finally managed with endovascular treatment with stent-assisted coil placement. Clopidogrel and acetylsalicylic acid orally were introduced in the therapy for further stent thrombosis prevention and epistaxis did not recur on six-month follow-up. Endovascular treatment with stent-assisted coil placement seems to be a good method for pseudo-aneurysm treatment while keeping the lumen of the parent artery patent.

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