J Cerebrovasc Endovasc Neurosurg.  2015 Dec;17(4):313-317. 10.7461/jcen.2015.17.4.313.

Ultrasound Guided Local Endovascular Coiling of an Iatrogenic Superficial Temporal Artery Pseudoaneurysm

• Wright CH
• Wright J
• Badjatiya
• Manjila S
• Reed S
• Geertman R

• KMID: 2150969
• DOI: http://doi.org/10.7461/jcen.2015.17.4.313

Abstract

Pseudoaneurysms of the superficial temporal artery are rare and may be treated by manual compression, surgical intervention, coil embolization, or percutaneous thrombin injection. We present a novel technique of local ultrasound guided low-profile coil embolization of the superficial temporal artery with both satisfactory cosmetic and surgical results.

Keyword

Pseudoaneurysm; Cerebrovascular; Endovascular; Temporal arteries

MeSH Terms

Aneurysm, False*
Embolization, Therapeutic
Temporal Arteries*
Thrombin
Ultrasonography*
Thrombin

Figure

• 

  Fig. 1 Axial MRI demonstrating flow voids in the region of the STA.

• 

  Fig. 2 (A) Diagnostic angiogram, lateral view, demonstrating a large STA pseudoaneurysm. (B) Diagnostic angiogram, AP view, demonstrating a large STA pseudoaneurysm.

• 

  Fig. 3 (A) Coiling of the pseudoaneurysm. (B) Angiogram (DSA) after coiling of the pseudoaneurysm. (C) Lateral angiogram of the coils used to occlude the STA.

• 

  Fig. 4 MRI one year after coiling demonstrating no recurrence of the STA pseudoaneurysm.

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