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Endovascular Treatment of a Petrous Internal Carotid Artery Aneurysm With Hemotympanum and Epistaxis Using a Coronary Stent and Detachable Platinum Coils
Report of a Case
Michael Horowitz, MD;
Elad Levy, MD;
Bridget Hathaway, MD;
Tudor Jovin, MD;
Barry Hirsch, MD
Arch Otolaryngol Head Neck Surg. 2005;131:61-63.
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INTRODUCTION
Endovascular therapy can assist otolaryngologists with a variety of commonly encountered conditions, including vascular neoplasms, vessel ruptures, epistaxis, malignant neoplasms, and trauma. Although most otolaryngologists are familiar with the procedures for tumor and epistaxis embolization, arteriovenous fistula embolization, tumor chemotherapy, vessel sacrifice, and large vessel stenting, few of these specialists encounter symptomatic aneurysms during their careers.1-5 These lesions, however, can be managed in a variety of minimally intrusive ways that exclude the aneurysm from the native circulation while preserving the normal cerebral vasculature. In this report, we demonstrate the use of a coronary stent along with endovascular aneurysm coils to treat a petrous carotid aneurysm to occlude the lesion and eliminate rebleeding yet preserve the patient’s cerebral circulation.
REPORT OF A CASE
A 24-year-old woman with no significant medical or surgical history presented with several episodes of epistaxis. Evaluation . . . [Full Text of this Article]
COMMENT
AUTHOR INFORMATION
Author Affiliations: Departments of Neurosurgery (Drs Horowitz and Jovin), Radiology (Dr Horowitz), Otolaryngology (Drs Hathaway and Hirsch), and Neurology (Dr Jovin), University of Pittsburgh Medical Center, Pittsburgh, Pa; and Department of Neurosurgery, University of Buffalo, Buffalo, NY (Dr Levy).
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