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Post-traumatic pseudoaneurysm of the internal maxillary artery
The Journal of Trauma
|February 1, 1982
Summary
Internal maxillary artery pseudoaneurysms, often caused by trauma, present as facial swelling. Balloon embolization offers a safer and effective treatment alternative to surgery for these rare vascular lesions.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Trauma Management
Background:
- Internal maxillary artery pseudoaneurysms are rare vascular lesions.
- These pseudoaneurysms are typically associated with antecedent trauma.
- Clinical presentation often includes persistent, painful lateral facial swelling.
Observation:
- A case of internal maxillary artery pseudoaneurysm following gunshot wounds to the neck is presented.
- Diagnosis was confirmed via carotid arteriography.
- The pseudoaneurysm developed 17 days post-injury.
Findings:
- Successful treatment of the internal maxillary artery pseudoaneurysm was achieved using balloon embolization.
- Transvascular embolization demonstrated safety and efficacy.
- Compared to surgical intervention, embolization is presented as a preferable therapeutic option.
Implications:
- Balloon embolization is a viable and potentially safer alternative to surgery for internal maxillary artery pseudoaneurysms.
- This case highlights the importance of considering vascular injury in patients with facial swelling after trauma.
- Further research into endovascular techniques for managing traumatic arterial pseudoaneurysms is warranted.