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Iatrogenic Life-Threatening Pseudoaneurysms of Extracranial Internal Carotid Artery After Fine-Needle Aspiration of Cervical Lymph Nodes: Report of Two Cases in Children

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Abstract

Two children younger than 10 sought care for large, tense pulsatile swelling in the neck after fine-needle aspiration of cervical lymph nodes that resulted in severe respiratory distress. Computed tomographic angiography confirmed the presence of large pseudoaneurysms that caused a mass effect, leading to compression of surrounding vessels and airway. Pseudoaneurysms were successfully treated by coil embolization in one patient and surgical ligation of the internal carotid artery in the other.

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Authors and Affiliations

  1. Department of Radiodiagnosis and Interventional Radiology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India

    Manphool Singhal, Vivek Gupta, Paramjeet Singh, Anupam Lal & Niranjan Khandelwal

  2. Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India

    Arunanshu Behra

Authors
  1. Manphool Singhal
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  2. Vivek Gupta
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  3. Paramjeet Singh
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  4. Anupam Lal
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  5. Arunanshu Behra
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  6. Niranjan Khandelwal
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Correspondence to Niranjan Khandelwal.

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Singhal, M., Gupta, V., Singh, P. et al. Iatrogenic Life-Threatening Pseudoaneurysms of Extracranial Internal Carotid Artery After Fine-Needle Aspiration of Cervical Lymph Nodes: Report of Two Cases in Children. Cardiovasc Intervent Radiol 32, 1260–1263 (2009). https://doi.org/10.1007/s00270-009-9506-x

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  • DOI: https://doi.org/10.1007/s00270-009-9506-x

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