Endovascular reconstruction of enlarging traumatic internal carotid artery pseudoaneurysm

Neurosurg Focus. 2014 Jul;37(1 Suppl):1. doi: 10.3171/2014.V2.FOCUS14185.

Abstract

Traumatic dissecting pseudoaneurysms of the cervical and petrous internal carotid artery are often a result of blunt or penetrating trauma. These patients are at high risk for thromboembolic complications and are managed with antiplatelet agents. Patients who develop neurologic symptoms while on antiplatelet agents, or have interval enlargement of their pseudoaneurysms, may require repair of the vessel. We describe a case in which we performed an endovascular repair of an enlarging distal cervical internal carotid artery pseudoaneurysm, with placement of a covered stent. The video can be found here: http://youtu.be/uCypcsBvOZ4 .

Keywords: covered stent; dissecting aneurym; pseudoaneurysm; trauma; video.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Carotid Artery Injuries / diagnosis
  • Carotid Artery Injuries / surgery*
  • Carotid Artery, Internal / surgery*
  • Cerebral Angiography
  • Endovascular Procedures / instrumentation
  • Endovascular Procedures / methods*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Plastic Surgery Procedures / instrumentation
  • Plastic Surgery Procedures / methods*
  • Stents
  • Young Adult