Extracranial Internal Carotid Pseudoaneurysm after a Dental Procedure

Extracranial internal carotid pseudoaneurysm (ECCPSA) is rare, and usually the result of traumatic injury, infection, dissection, iatrogenic injury during internal jugular catheterization, or post endarterectomy. Prior to the advent of antibiotics, this disease affected young patients in their 20-40s, and the most common causes were syphilis, tuberculosis, middle ear and tonsillar infections as well as trauma. However, in contemporary practice, atherosclerosis, trauma, dissection and previous surgery has replaced infection as the most common cause, and age group has been replaced by that of carotid occlusive disease.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research