Table 1.
PTs | Age/Sex | Cause | Presentation | CT Findings | DSA Findings | Treatment | Clinical Course |
---|---|---|---|---|---|---|---|
1 | 73/M | Fall | Neck swelling | EV, visceral space | EV, L inferior thyroid | NA | NA |
2 | 80/F | Fall | Neck swelling | PA, R posterior thyroid | PA, R VA (V2) | bStent | Stable 717 d F/U |
3 | 46/M | Fall | Epistaxis and oral bleeding | Le fort II fracture | EV, L IMA branch | Coil | Stable 260 d F/U |
4 | 57/M | Fall | Bleeding | Facial and sphenoid bone fracture | EV, L IMA branch | Particle | Stable 4 d F/U |
5 | 39/M | Fall | Epistaxis | Facial and sphenoid bone fracture | EV, R IMA branch EV, R cavernous ICA (CCF) |
Coil, particle | Stable 39 d F/U |
6 | 51/F | TA | Epistaxis and oral bleeding | Le fort I fracture | EV, R petrous ICA EV, R ascending pharyngeal |
cStent, coil | Stable 423 d F/U |
7 | 62/M | TA | Epistaxis | Organizing hematoma, L maxillary sinus | EV, L IMA branch | Coil, glue | Death 911 d d/t esophageal cancer |
8 | 80/F | TA | Massive oral bleeding | Le fort II fracture | EV, L IMA branch EV, both facial |
Particle, coil | Stable 651 d F/U |
9 | 61/M | TA | Epistaxis | Le fort II fracture | EV, L IMA branch | Coil | Stable 548 d F/U |
10 | 25/M | Blunt | Ear bleeding | Hematoma, retropharyngeal space | EV, L VA (V2) | bStent, coil | Brain death 12 d |
11 | 64/M | Blunt | Epistaxis and oral bleeding | Le fort II fracture | EV, R IMA branch | Coil | Transferred and lost F/U |
12 | 47/M | Stab | Arrest | R CCA-IJV fistula | EV, R distal CCA | cStent | Death 12 h d/t hypovolemic shock |
13 | 53/F | Stab | Bleeding | Hematoma, L neck | EV, L VA (V2) | Coil, bStent | Stable 1416 d F/U |
14 | 22/F | Stab | Bleeding | PA, L lingual | PA, L lingual | Coil | Stable 190 d F/U |
15 | 34/F | Stab | Bleeding | EV, R ICA | EV, R cervical ICA | cStent | Stable 45 d F/U |
16 | 32/M | Iatrogenic | Massive bleeding during surgery | NA | EV, R proximal CCA | cStent | Stable 2344 d F/U |
17 | 26/M | Iatrogenic | Epistaxis | Normal | EV, R IMA branch | Particle | Stable 102 d F/U |
18 | 58/M | Iatrogenic | Oral bleeding | NA | EV, L cervical ICA | cStent | Death 354 d d/t pneumonia |
19 | 48/M | Iatrogenic | Epistaxis | NA | EV, L IMA branch | Particle, coil | Stable 2971 d F/U |
20 | 34/M | Iatrogenic | Epistaxis | NA | EV, L IMA branch | Particle | Stable 26 d F/U |
21 | 23/M | Iatrogenic | Epistaxis | NA | EV, L IMA branch | Coil | Stable 246 d F/U |
Note—EV = extravasation, PA = pseudoaneurysm, CCF = carotid cavernous fistula, R = right, L = left, IMA = internal maxillary artery, cStent = covered stent, bStent = bare stent, ICA = internal carotid artery, CCA = common carotid artery, IJV = internal jugular vein, VA = vertebral artery, TA = traffic accident, NA = not applicable, d = days, h = hours, F/U = follow up.