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Endovascular treatment of a ruptured pseudoaneurysm of the internal carotid artery in a patient with nasopharyngeal cancer:A case report

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World Journal of Clinical Cases 2022年第25期10卷 9121-9126页

作者： Jung-Soo Park Hyoung Gyu Jang Department of Neurosurgery Jeonbuk National University Medical School and HospitalJeonju 54907South Korea

BACKGROUND Radiation therapy(RT)for nasopharyngeal cancer can cause several *** rare cases,an internal carotid artery pseudoaneurysm can occur,which can be *** report the experience of a nasopharyngeal cancer patient who underwent radiation therapy and subsequently developed a fatal pseudoaneurysm of the petrous internal carotid *** SUMMARY A 39-year-old man was diagnosed with nasopharyngeal cancer 2 years ago(American Joint Committee on Cancer Stage T3N2M0)and received concurrent chemoradiation *** subsequently relapsed and received *** week after the 4th cycle of chemotherapy,he was admitted to the emergency room of our hospital because of massive epistaxis accompanied by a headache.A pseudoaneurysm of the petrous internal carotid artery was confirmed by digital subtraction angiography(DSA).Stent-assisted endovascular coil embolization was performed and complete occlusion was *** pseudoaneurysm was observed on DSA after coil embolization;however,intermittent epistaxis was maintained even after coil *** seven days,a diagnostic laryngoscopy was *** bleeding occurred after aspiration of the blood clot during the laryngoscopy and the patient died of hypovolemic *** this case,epistaxis may have been a sign of pseudoaneurysm;therefore,treatment such as embolization should be performed promptly,and careful management should be undertaken after *** This case highlights a rare,serious complication of RT in nasopharyngeal cancer and how it should be recognized and treated.

关键词： pseudoaneurysm Nasopharyngeal cancer Radiation therapy Epistaxis carotid artery pseudoaneurysm Case report

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Successful treatment of spontaneous rupture of the internal carotid artery in an acute promyelocytic leukemia patient using ultrasound-guided thrombin injection

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Chinese Medical Journal 2013年第2期126卷 389-390页

作者： LI Xue-feng GU Yong-quan HUA Yang HE Fu-liang ZHANG Jian LI Jian-xin GUO Lian-rui TONG Zhu WU Xin GUO Jian-ming WANG Zhong-gao Department of Vascular Surgery Xuan Wu Hospital ofCapital Medical University Beijing 100053 China Department of Vascular Ultrasound Xuan Wu Hospital ofCapital Medical University Beijing 100053 China

Spontaneous rupture and bleeding from the carotid artery in acute promyelocytic leukemia （APL）patients leading to pseudoaneurysm （PSA） formation has not been reported. We first successfully treated an APL patient with leli internal carotid artery rupture during chemotherapy leading to PSA using ultrasound-guided thrombin iniection （UGTI）.

关键词： ultrasound-guided thromhin injection,nonlymphocytic leukemia carotid artery pseudoaneurysm

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