Stent-Graft Treatment of a Common Carotid Artery Pseudoaneurysm

2000 ◽  
Vol 7 (2) ◽  
pp. 136-140 ◽  
Author(s):  
Franco Simionato ◽  
Claudio Righi ◽  
Germano Melissano ◽  
Antonio Rolli ◽  
Roberto Chiesa ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Arterial Wall ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vascular Pathology ◽  
Stent Grafts ◽  
Color Flow ◽  
Femoral Access ◽  
Artery Pseudoaneurysm

Purpose: To report a case demonstrating successful endovascular treatment of a right common carotid artery pseudoaneurysm using a commercially prepared balloon-expandable covered stent. Methods and Results: A 50-year-old man was evaluated for syncopal episodes. He had a history of severe trauma sustained in a motor vehicle accident 3 years before symptom onset. Doppler ultrasound scanning detected a pseudoaneurysm at the origin of the right common carotid artery. The defect measured 25 mm × 20 mm with a 22-mm-long neck on angiography and computed tomography; there was no evidence of carotid stenosis or associated vascular pathology. Via a percutaneous femoral access, 2 Jostent peripheral stent-grafts were placed at the level of the aneurysm, safely achieving complete repair of the arterial wall defect. The patient was asymptomatic at his 12-month evaluation. Color flow duplex scans showed continued exclusion of the pseudoaneurysm. Conclusions: Wide-necked aneurysms in the extracranial carotid arteries may be treated with stent-grafts, which can achieve complete and permanent reconstruction of the arterial wall by excluding the aneurysm.

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.

Postendarterectomy Common Carotid Artery Pseudoaneurysm

Vascular ◽  
2006 ◽  
Vol 14 (3) ◽  
pp. 177-180 ◽  
Author(s):  
Nenad S. Ilijevski ◽  
Predrag Gajin ◽  
Vojislava Neskovic ◽  
Jovo Kolar ◽  
Djordje Radak
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Carotid Endarterectomy ◽  
Common Carotid Artery ◽  
Carotid Surgery ◽  
Artery Pseudoaneurysm ◽  
Adjacent Structures ◽  
Uncommon Complication

Pseudoaneurysm (PSA) formation is an uncommon complication in carotid surgery. PSA of the carotid artery requires surgical or endovascular treatment to prevent PSA thrombosis, embolization from the thrombotic material within the PSA, hemorrhage after rupture, or compression on the adjacent structures. We present a case of a symptomatic common carotid PSA that occurred 14 months after routinely performed eversion carotid endarterectomy.

scholarly journals Endovascular Internal Trapping by Low-Concentration N-butyl-2-Cyanoacrylate for a Ruptured Giant Common Carotid Artery Pseudoaneurysm

2020 ◽  
Vol 55 (1) ◽  
pp. 81-85
Author(s):  
Tomoaki Harada ◽  
Atsushi Fujita ◽  
Junichi Sakata ◽  
Masaaki Kohta ◽  
Eiji Kohmura
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Parent Artery ◽  
Artery Pseudoaneurysm ◽  
Low Concentration ◽  
Complete Obliteration ◽  
Minimum Number ◽  
History Of ◽  
Giant Pseudoaneurysm

Treating carotid blowout syndrome following rupture of giant pseudoaneurysms is difficult because the destroyed parent artery precludes conventional treatment. We present a patient with a ruptured giant pseudoaneurysm that we occluded using a modified internal trapping technique with low-concentration N-butyl-2-cyanoacrylate (NBCA) and a minimum number of coils. An 80-year-old man with a history of chemoradiation therapy for oropharyngeal cancer presented with several episodes of active bleeding from the subsequent tracheostomy site. Radiological examination revealed a giant right common carotid artery (CCA) pseudoaneurysm. Endovascular internal trapping was performed using both NBCA and coils under proximal flow control. We slowly injected 9 ml of low-concentration NBCA, which subsequently filled the entire pseudoaneurysm. We then injected an additional 2 ml of NBCA into the proximal CCA to achieve complete obliteration. No re-bleeding was observed during the 6-month follow-up. Endovascular internal trapping using low-concentration NBCA was feasible to treat a giant CCA pseudoaneurysm. The injected low-concentration NBCA filled the entire pseudoaneurysm without the risk of catheter entrapment.

scholarly journals Pseudoaneurysm of the Common Carotid Artery in an Infant due to Swallowed Fish Bone

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Moulion Tapouh Jean Roger ◽  
Fokou Marcus ◽  
Fongang Emmanuel ◽  
Moifo Boniface ◽  
Juimo Alain Georges
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Rare Condition ◽  
Paediatric Population ◽  
Fish Bone ◽  
Transverse Diameter ◽  
Severe Respiratory Distress ◽  
Artery Pseudoaneurysm ◽  
Satisfactory Outcome ◽  
One Year

Carotid artery pseudoaneurysm is a rare condition, particularly in the paediatric population. Only about 30 cases of carotid artery aneurysms in infants have been published until now. This paper reports the case of a giant pseudoaneurysm of the left common carotid artery due to swallowed fish bone by an 8-year-old boy. This pseudoaneurysm was 5.5 cm transverse-diameter and resulted in severe respiratory distress. It was treated by resection and end-to-end anastomosis with satisfactory outcome after one-year follow-up. To the best of our knowledge, this is the largest carotid artery pseudoaneurysm ever described in children.

Pseudoaneurysm of the Left Common Carotid Artery With Neurofibromatosis Type 1

2020 ◽  
Vol 54 (6) ◽  
pp. 549-552
Author(s):  
Tadashi Umeno ◽  
Takashi Shuto ◽  
Hirofumi Anai ◽  
Tomoyuki Wada ◽  
Takayuki Kawashima ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Neurofibromatosis Type 1 ◽  
Common Carotid Artery ◽  
Arterial Wall ◽  
Histopathological Examination ◽  
Artery Aneurysm ◽  
Neurofibromatosis Type ◽  
Left Common Carotid Artery ◽  
Risk Of Rupture

We describe a 54-year-old man with neurofibromatosis type 1 who presented with a left-sided neck mass. Computed tomography demonstrated a left common carotid artery aneurysm (51 × 33 mm). Surgery was performed because of the risk of rupture. The left common carotid artery was found to be a huge aneurysmal dilatation, and the arterial wall partially collapsed and extensively adherent to the surrounding tissues. Left common carotid artery to internal carotid artery bypass grafting was performed with a reversed saphenous vein graft. Histopathological examination revealed vascular fragility of the left carotid arterial wall.

Traumatic Carotid Artery Dissection and Pseudoaneurysm Treated with Endovascular Coils and Stent

1997 ◽  
Vol 4 (4) ◽  
pp. 339-343 ◽  
Author(s):  
John H. Matsuura ◽  
David Rosenthal ◽  
Hilde Jerius ◽  
Michael D. Clark ◽  
David S. Owens
Keyword(s):  
Carotid Artery ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Carotid Dissection ◽  
Pseudoaneurysm Formation ◽  
Vehicle Accident ◽  
Detachable Coils ◽  
Base Of The Skull

Purpose: To report a case of post-traumatic internal carotid artery dissection and pseudoaneurysm formation at the C-1 level successfully treated by a percutaneous endovascular technique. Methods and Results: A 20-year-old female presented 72 hours after a motor vehicle accident with incomplete occulosympathetic paresis (Horner's syndrome), carotidynia, and left-sided weakness. Arteriography confirmed the diagnosis of carotid dissection and an associated 1.5-cm × 2.5-cm pseudoaneurysm at the C-1 level. Neuroradiologists embolized the pseudoaneurysm with Guglielmi detachable coils and controlled the dissection with placement of a Wallstent. Conclusions: This report illustrates successful percutaneous endovascular treatment of a carotid dissection and pseudoaneurysm near the base of the skull.

Traumatic carotid—cavernous fistula treated by combined transarterial and transvenous coil embolization and associated cavernous internal carotid artery dissection treated with stent placement

2003 ◽  
Vol 99 (3) ◽  
pp. 584-586 ◽  
Author(s):  
Süleyman Men ◽  
Halil Öztürk ◽  
Baki HekimoğLu ◽  
Zeki Şekerci
Keyword(s):  
Carotid Artery ◽  
Stent Placement ◽  
Coil Embolization ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula

✓ The authors report on a case in which a carotid—cavernous fistula and an associated cavernous—carotid dissection developed in a 48-year-old man following a motor vehicle accident. The fistula was treated with coil embolization via a combined transarterial—transvenous approach. The dissected carotid artery segment was treated with a balloon-expandable stent, which restored normal caliber and hemispheric flow. There was no recurrence of the fistula and the postoperative wide patency of the carotid artery indicates that stent placement is an effective method of treating traumatic intracranial artery dissections.

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