CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2021; 05(02): 110-113
DOI: 10.1055/s-0041-1740341
Case Report

Endovascular Management of Internal Carotid Artery Pseudoaneurysm Secondary to Pediatric Deep Neck Space Infection: A Case Report and Review of Literature

1   Department of Diagnostic & Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
1   Department of Diagnostic & Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Meenu Bagarhatta
2   Department of Radiodiagnosis, SMS Medical College & Attached Hospitals, Jaipur, Rajasthan, India
,
Sarbesh Tiwari
1   Department of Diagnostic & Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Rajeev Bagarhatta
3   Department of Cardiology, SMS Medical College & Attached Hospitals, Jaipur, Rajasthan, India
› Author Affiliations
Funding None.

Abstract

Pseudoaneurysms of extracranial internal carotid artery (ICA) are rare in children. Main causes include trauma, iatrogenic causes, and neck space infection. Prompt diagnosis and management is vital, in view of life-threatening complications like fatal airway hemorrhage and stroke. Endovascular management has currently become the preferred treatment strategy due to its minimally invasive nature and lower complication rates. We report a rare case of mycotic pseudoaneurysm of extracranial ICA in a 4-year-old child as a complication of neck space infection, which was successfully managed with endovascular parent artery occlusion.



Publication History

Article published online:
06 January 2022

© 2022. The Pan Arab Interventional Radiology Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Garg K, Rockman CB, Lee V. et al. Presentation and management of carotid artery aneurysms and pseudoaneurysms. J Vasc Surg 2012; 55 (06) 1618-1622
  • 2 Balasundaram P, Sebastian LJD, Jain N, Prabhakar A, Garg A, Gaikwad S. Management of arterial pseudoaneurysms of the neck in a pediatric population: an endovascular case series and review of literature. World Neurosurg 2019; 125: e273-e281
  • 3 Chavan R, Ichaporia N, Vhora S. et al. Endovascular management of internal carotid artery pseudoaneurysms: retrospective observational study. Interdiscip Neurosurg 2021; 24: 101042
  • 4 Kumar A, Prabhakar A, Gupta V. et al. Endovascular management of internal carotid artery pseudoaneurysms: a single-centre experience of 20 patients. Neurol India 2018; 66 (04) 1067-1074
  • 5 Brinjikji W, Diehn FE, Lindsay CW, Morris JM. Endovascular treatment of an infected pseudoaneurysm secondary to retropharyngeal abscess in a child. Interv Neuroradiol 2015; 21 (04) 538-542
  • 6 Ni L, Weng H, Pu Z. et al. Open surgery versus endovascular approach in treatment of extracranial carotid artery aneurysms. J Vasc Surg 2018; 67 (05) 1429-1437
  • 7 Thota R, Sebastian LJD, Gupta MM. et al. ICA pseudoaneurysms and fistulas presenting as severe epistaxis: endovascular management. Interdiscip Neurosurg 2020; 22: 100818
  • 8 Nadarajah J, Sebastian LJD, Jain N, Gaikwad SB, Jauhari P, Saini A. Endovascular management of a rare case of pediatric vertebral artery mycotic aneurysm: a case report. Pediatr Neurosurg 2018; 53 (05) 346-350
  • 9 Ruff MW, Nasr DM, Klaas JP, Renaud DL. Internal carotid artery pseudoaneurysm and ischemic stroke secondary to retropharyngeal and parapharyngeal abscess. J Child Neurol 2017; 32 (02) 230-236
  • 10 Li Z, Chang G, Yao C. et al. Endovascular stenting of extracranial carotid artery aneurysm: a systematic review. Eur J Vasc Endovasc Surg 2011; 42 (04) 419-426
  • 11 Pourhassan S, Grotemeyer D, Fokou M. et al. Extracranial carotid arteries aneurysms in children: single-center experiences in 4 patients and review of the literature. J Pediatr Surg 2007; 42 (11) 1961-1968
  • 12 Davidson C, Holihan C, de Oliveira Sillero R, Lee K, Mitchell RB, Shah G. Infectious pseudoaneurysm of the internal carotid artery in a child secondary to parapharyngeal abscess. Ear Nose Throat J 2021; •••: 145561320984582
  • 13 Salinger S, Pearlman SJ. Hemorrhage from pharyngeal and perionsillar abscesses. Arch Otolaryngol 1933; 18 (04) 464-509
  • 14 Sundarrajan C, Isa SA, Caruso JP. et al. Treatment of large infectious extracranial carotid artery pseudoaneurysms in children: a systematic review of the literature. Childs Nerv Syst 2021; 37 (05) 1461-1470