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Endovascular Management of a Refractory Pseudoaneurysm of the Sternocleidomastoid Artery Caused by Attempted Internal Jugular Central Line Placement with Long-Term Follow-Up: A Case Report and Review
Joint Authors
Abdel-Aty, Yassmeen
Bellew, Michael P.
Source
Case Reports in Otolaryngology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-10
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
This case report shows successful treatment of a refractory sternocleidomastoid branch of the superior thyroid artery (SBSTA) pseudoaneurysm using endovascular glue embolization in a patient who refused surgery.
Case Presentation.
A 63-year-old female with multiple comorbidities presented with a firm 7 cm tender mass located in the right neck.
Ultrasound showed pseudoaneurysm and a 7 × 3.3 × 4 cm multilobular hematoma in the location of the previous central line.
CTA showed a corresponding heterogeneous mass.
Serial imaging demonstrated enlargement over 2 weeks.
Angiogram showed contrast blush off of the SBSTA.
Management and Outcome.
SBSTA was embolized using glue.
Repeat angiogram showed embolization and no contrast blush.
One month later, the mass was no longer pulsatile but present on physical exam.
CTA showed decreased size.
8 months later, her neck was soft without mass.
Discussion.
Pseudoaneurysms of the external carotid artery are rare and usually due to trauma.
Pseudoaneurysms after central line placement are documented, but most are complications of femoral central lines.
A handful of cases of superior thyroid artery pseudoaneurysms due to several etiologies are reported, but none involving the SBSTA.
Therapeutic options include surveillance, compression, thrombin injection, embolization, and surgery.
Endovascular management offers an alternative for patients unwilling or unable to undergo open surgery.
American Psychological Association (APA)
Abdel-Aty, Yassmeen& Bellew, Michael P.. 2018. Endovascular Management of a Refractory Pseudoaneurysm of the Sternocleidomastoid Artery Caused by Attempted Internal Jugular Central Line Placement with Long-Term Follow-Up: A Case Report and Review. Case Reports in Otolaryngology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1148558
Modern Language Association (MLA)
Abdel-Aty, Yassmeen& Bellew, Michael P.. Endovascular Management of a Refractory Pseudoaneurysm of the Sternocleidomastoid Artery Caused by Attempted Internal Jugular Central Line Placement with Long-Term Follow-Up: A Case Report and Review. Case Reports in Otolaryngology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1148558
American Medical Association (AMA)
Abdel-Aty, Yassmeen& Bellew, Michael P.. Endovascular Management of a Refractory Pseudoaneurysm of the Sternocleidomastoid Artery Caused by Attempted Internal Jugular Central Line Placement with Long-Term Follow-Up: A Case Report and Review. Case Reports in Otolaryngology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1148558
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148558