• Gang Chen, Jun Li, Guozheng Xu, Shangzhen Qin, Jie Gong, Ming Yang, Li Pan, Ge Zhang, and Lianting Ma.
• Neurosurgical Institute of PLA, Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command of PLA, Wuhan, China.
• Turk Neurosurg. 2013 Jan 1;23(6):716-20.

AimThe current study aims to explore the diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm (TICAP) primarily manifested by repeated epistaxis.Material And MethodsClinical data from 31 patients suffering from repeated epistaxis after trauma were retrospectively analyzed. All patients were diagnosed definitely with pseudoaneurysm at the internal carotid cavernous sinus segment by digital subtract angiography (DSA).ResultsEndovascular interventional therapy was performed for all the patients. 20 patients received direct occlusion of the parent artery by embolization with detachable balloons and the rest received covered stent implantation to cover the parent arterial tear. No death occurred. Epistaxis did not recur after operation.ConclusionDSA is the gold standard for TICAP diagnosis. Endovascular interventional therapy is the treatment of choice for TICAP. Compared with internal carotid artery occlusion with balloons, covered stent implantation is a more valuable endovascular intervention method.

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