Abstract
Pseudoaneurysm formation is a rare but dangerous complication of carotid artery dissection. It can result from trauma, spontaneous artery dissection, or iatrogenic causes. Presence of symptoms and ineffective medical therapy are one of the indications for invasive treatment. We present the case of 3 symptomatic patients with dissecting pseudoaneurysms-2 traumatic and 1 spontaneous. They were treated with 3 different endovascular procedures: the use of covered stentgraft, trans-stent coil embolization, and carotid stenting. After invasive and dual antiplatelet therapy, complete resolution of symptoms was achieved in all patients.
Keywords:
carotid artery; dissection; endovascular; pseudoaneurysm; stenting.
MeSH terms
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Accidents, Traffic
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Adult
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Aneurysm, False / diagnostic imaging
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Aneurysm, False / etiology*
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Aneurysm, False / physiopathology
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Aneurysm, False / surgery
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation / instrumentation
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Carotid Artery, Internal, Dissection / diagnostic imaging
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Carotid Artery, Internal, Dissection / etiology*
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Carotid Artery, Internal, Dissection / physiopathology
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Carotid Artery, Internal, Dissection / surgery
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Computed Tomography Angiography
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Embolization, Therapeutic / instrumentation
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Endovascular Procedures / instrumentation
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Female
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Humans
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Male
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Platelet Aggregation Inhibitors / administration & dosage
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Stents
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Treatment Outcome
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Vascular System Injuries / diagnostic imaging
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Vascular System Injuries / etiology*
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Vascular System Injuries / physiopathology
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Vascular System Injuries / surgery
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Young Adult
Substances
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Platelet Aggregation Inhibitors