Endovascular Treatment of Posttraumatic Pseudoaneurysm of the Common Carotid Artery

Carotid artery injuries with pseudoaneurysm are uncommon but associated with central neurologic dysfunction. We present a case of posttraumatic pseudoaneurysm of the right common carotid artery treated by implantation of a covered stent. A 44-year-old woman with multiple injuries after fall from hei...

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Bibliographic Details
Published in:Case reports in vascular medicine 2015-01, Vol.2015 (2015), p.1-4
Main Authors: Álvarez, Jesús, Riera de Cubas, Luis, Stefanov, Stefan, Rojas, Diego
Format: Article
Language:English
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Case Report
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Summary:Carotid artery injuries with pseudoaneurysm are uncommon but associated with central neurologic dysfunction. We present a case of posttraumatic pseudoaneurysm of the right common carotid artery treated by implantation of a covered stent. A 44-year-old woman with multiple injuries after fall from height presents a small dissection flap of the right common carotid artery (RCCA) on the initial computed tomography angiography (CTA). Fifteen days later a 10 mm pseudoaneurysm is observed on control CTA. We decided endovascular treatment. Through right femoral access with a long introducer sheath placed in the innominate artery, we implanted a covered stent Advanta V12 9×38 mm in the RCCA. The patient was discharged from the hospital with antiplatelet therapy without any neurological dysfunction and complete exclusion of the pseudoaneurysm. Use of covered stents has emerged as a safe and effective alternative to surgical repair of carotid injuries.
ISSN:2090-6986
2090-6994
DOI:10.1155/2015/427040