Endovascular embolization for traumatic facial artery pseudoaneurysm: a case report

This article presents a rare case of a facial artery pseudoaneurysm that developed following blunt trauma to the right buccal region. The patient, a 75-year-old male, sought medical attention four days after sustaining an injury from a stone impact, reporting pain and swelling in the right mandibular area. During the physical examination, a pulsatile mass was identified in the region of the facial artery. Color Doppler ultrasound confirmed the presence of a facial artery pseudoaneurysm, which was further validated by CT angiography. A team of vascular surgeons and interventional radiologists opted for endovascular embolization as the treatment approach. The procedure, performed under local anesthesia using embolic coils, was completed without complications. Follow-up imaging at two weeks and three months post-procedure confirmed successful occlusion of the pseudoaneurysm, with no signs of recurrence. This case illustrates that endovascular embolization is a safe and effective treatment for facial artery pseudoaneurysms, offering a minimally invasive alternative to traditional surgical methods that may carry risks such as scarring and excessive bleeding.

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