Covered Stent–Assisted Open Surgery in the Treatment of an Extracranial Carotid Artery Pseudoaneurysm

2019 ◽  
Vol 57 ◽  
pp. 238-243
Author(s):  
Wei-long Lu ◽  
Bing Wang ◽  
Fei Wu ◽  
Meng-yu Wang ◽  
Jin-xuan Pan ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Open Surgery ◽  
Covered Stent ◽  
Artery Pseudoaneurysm ◽  
Extracranial Carotid Artery

Extracranial carotid artery pseudoaneurysm presenting with embolic stroke in a pediatric patient

2008 ◽  
Vol 1 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Stacey Quintero Wolfe ◽  
Nils Mueller-Kronast ◽  
Mohammad Ali Aziz-Sultan ◽  
Alois Zauner ◽  
Sanjiv Bhatia
Keyword(s):  
Carotid Artery ◽  
Pediatric Population ◽  
Anticoagulation Therapy ◽  
Covered Stent ◽  
Embolic Stroke ◽  
Artery Pseudoaneurysm ◽  
Extracranial Carotid Artery ◽  
Balloon Test Occlusion ◽  
Complete Exclusion ◽  
Distal Location

✓Extracranial carotid artery (CA) aneurysms are rare in the pediatric population and are usually the result of connective tissue disorders, traumatic dissection, or infection. The authors present the case of a large calcified internal carotid artery pseudoaneurysm of obscure origins presenting with embolic stroke in a child. Aneurysm excision and CA reconstruction would have been extremely difficult due to the distal location of the lesion, and CA ligation was contraindicated due to a failed balloon test occlusion. Therefore, after anticoagulation therapy, the patient was treated endovascularly with a covered stent and complete exclusion of the aneurysm from the circulation. The patient recovered all neurological function and has remained in excellent condition. A follow-up angiogram performed at 6 months showed no recurrence or stenosis.

scholarly journals Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm

2016 ◽  
Vol 07 (S 01) ◽  
pp. S103-S105
Author(s):  
Dale Ding ◽  
Robert M. Starke ◽  
Maurice Moriarty ◽  
Stefan Brew
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Stent Graft ◽  
Covered Stent ◽  
Parent Artery ◽  
Artery Pseudoaneurysm ◽  
Extracranial Carotid Artery ◽  
Luminal Narrowing ◽  
Proximal Internal Carotid Artery ◽  
Covered Stent Graft

ABSTRACTLarge pseudoaneurysms which compress the parent vessel are challenging lesions to successfully treat with endovascular therapy. We describe the endovascular treatment of a giant extracranial carotid artery (ECCA) pseudoaneurysm resulting in substantial mass effect on the common carotid artery (CCA) bifurcation using a telescoping dual covered stent graft construct. A 56-year-old male was diagnosed with an 8.5 cm × 13 cm pseudoaneurysm arising from the left CCA bifurcation, which was causing luminal narrowing of the CCA and proximal internal carotid artery (ICA). The patient underwent endovascular intervention, during which a balloon-expandable covered stent was deployed within a heparin-bonded covered stent, such that the overall construct spanned from the CCA to the lower cervical ICA. The employment of a telescoping dual covered stent technique can successfully treat appropriately selected patients with large or giant ECCA pseudoaneurysms, with the concomitant goals of excluding the pseudoaneurysm and restoring the luminal caliber of the parent artery.

scholarly journals Equine pericardium-covered stenting in post-traumatic pseudoaneurysm of cavernous internal carotid artery

2018 ◽  
Vol 24 (6) ◽  
pp. 635-638
Author(s):  
Jorge L Gonzalez-Cantero ◽  
Mariano del Valle Diéguez ◽  
Cristina Monteserín Matesanz ◽  
Javier Saura Lorente ◽  
Francisco Villoria Medina ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Covered Stent ◽  
Parent Vessel ◽  
Artery Pseudoaneurysm ◽  
Equine Pericardium ◽  
Post Traumatic

We report a case of traumatic intracranial carotid artery pseudoaneurysm treated with an equine pericardium-covered stent. The patient was admitted to the Emergency Department after sustaining severe polytrauma in a motor vehicle accident. A cavernous carotid pseudoaneurysm was detected after an episode of massive epistaxis that required emergent nasal packing. Treatment with parent vessel sacrifice was ruled out after an unfavourable balloon test occlusion. We opted for an equine pericardium-covered stent as a means to immediately seal the wall defect in the setting of massive bleeding secondary to an unstable lesion. We describe the potential benefits and drawbacks of these prostheses and the technical difficulties encountered in this particular case. To our best knowledge, this is the first published case report on a post-traumatic intracranial internal carotid artery pseudoaneurysm successfully treated with an equine pericardium-covered stent.

scholarly journals A Case of Extracranial Carotid Artery Pseudoaneurysm

2013 ◽  
Vol 137 (0) ◽  
pp. 138-139
Author(s):  
Koichi Hashida ◽  
Shoji Ikezaki ◽  
Fumiko Takenaga ◽  
Toshiaki Sanka ◽  
Hiroki Koizumi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Artery Pseudoaneurysm ◽  
Extracranial Carotid Artery

scholarly journals A New Concept for Carotid Artery Stenting: Coating the Atherosclerotic Plaque by Covered Stent before Bare Stent Implantation

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Erol Akgul
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Stent Thrombosis ◽  
Atherosclerotic Plaque ◽  
Stent Implantation ◽  
Carotid Artery Stenosis ◽  
Carotid Artery Stenting ◽  
Balloon Dilation ◽  
Covered Stent ◽  
Extracranial Carotid Artery

In carotid artery stenting (CAS) procedures, distal embolism, periprocedural stent thrombosis, and 30-day stroke due to the plaque fragmentation and protrusion caused by stent implantation and balloon dilation are frequent complications. In this technical case report, a case is presented of extracranial carotid artery stenosis treated with a covered stent and subsequent implantation of a bare stent. In addition, the possibility is discussed that this new technique prevents the distal microembolic complications, periprocedural stent thrombosis, and 30-day stroke of extracranial CAS.

Extracranial carotid artery pseudoaneurysm due to Mycobacterium tuberculosis

2020 ◽  
Vol 28 (5) ◽  
pp. 279-281 ◽  
Author(s):  
Surendra Patel ◽  
Alok Kumar Sharma ◽  
Danishwar Meena ◽  
Pawan Kumar Garg ◽  
Sarbesh Tiwari ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Carotid Artery ◽  
Neck Mass ◽  
Dacron Graft ◽  
Normal Flow ◽  
Artery Pseudoaneurysm ◽  
Extracranial Carotid Artery ◽  
Antitubercular Treatment ◽  
The Right ◽  
Excised Tissue

Mycobacterium tuberculosis is a very rare cause of extracranial carotid artery pseudoaneurysm. A 39-year-old man presented with a rapidly increasing neck mass and hoarseness of voice for 15 days. He was on antitubercular treatment for pulmonary tuberculosis. Computed tomography angiography showed a large pseudoaneurysm of the right common carotid artery. Emergency surgery was performed to excise the pseudoaneurysm sac and repair the artery with a Dacron graft. Postoperative angiography showed normal flow in the carotids and cerebral circulation. Histology of the excised tissue was consistent with a tubercular etiology of the pseudoaneurysm.

scholarly journals Giant cervical carotid artery pseudoaneurysm treated with a covered Stent: two case reports

2009 ◽  
Vol 3 (2) ◽  
pp. 124-130 ◽  
Author(s):  
Fumiaki ISAKA ◽  
Kenji HASHIMOTO ◽  
Yoshinori AKIYAMA ◽  
Shin-ichiro OKAMOTO ◽  
Taro KOMURO ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Case Reports ◽  
Covered Stent ◽  
Artery Pseudoaneurysm

scholarly journals Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm in a Child Using Vascular Plugs

2019 ◽  
Vol 99 (10) ◽  
pp. NP119-NP121
Author(s):  
Jim Zhong ◽  
Fathallah Islim ◽  
Santosh Sundararajan ◽  
Nasim Tahir ◽  
Tony Goddard ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid ◽  
Retropharyngeal Abscess ◽  
Extracranial Internal Carotid Artery ◽  
Artery Pseudoaneurysm ◽  
Extracranial Carotid Artery ◽  
Mycotic Pseudoaneurysm ◽  
First Case ◽  
Back Door ◽  
Repeat Imaging

Carotid artery pseudoaneurysm is a rare but serious complication of a retropharyngeal abscess in children. We report the first case of treating an unruptured mycotic pseudoaneurysm of the extracranial internal carotid artery (ICA) in a pediatric patient with vascular plugs. A 3-year-old patient presented with airway compromise and signs of neck sepsis. Successful embolization of the pseudoaneurysm was achieved with 2 Amplatzer vascular plugs to close the front and back door. The patient did not have any neurological deficit. Repeat imaging with ultrasound and computed tomography confirmed no recurrence of the pseudoaneurysm.

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