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Ruptured pseudoaneurysm of the internal maxillary artery complicating CT‐guided fine‐needle aspiration in an irradiated, surgical bed
Author(s) -
Oh John C.,
Weber Randal S.,
Bagley Linda J.,
Loevner Laurie A.
Publication year - 2007
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20622
Subject(s) - medicine , pseudoaneurysm , radiology , surgery , fine needle aspiration , embolization , head and neck , complication , biopsy
Background. CT‐guided fine‐needle aspiration (FNA) is a safe procedure, but major complications can occur rarely. Pseudoaneurysm rupture in the head and neck region following CT‐guided FNA is an emergency that can result in life‐threatening hemorrhage. This case emphasizes the salient risk factors for pseudoaneurysm formation and rupture in the head and neck region following CT‐guided FNA. Methods. A patient was seen with oral and facial hemorrhage as a result of a ruptured pseudoaneurysm 11 weeks following CT‐guided FNA in a previously irradiated surgical bed. Results. The patient was treated with coil embolization in and around the pseudoaneurysm and discharged without any further complications. Conclusions. Although CT‐guided FNA is a safe and effective procedure, some patients may be at increased risk for rare but major complications. Caution should be used in proceeding with CT‐guided FNA in an irradiated surgical bed of the head and neck. © 2007 Wiley Periodicals, Inc. Head Neck, 2007