Covered Stents to Treat Partial Recanalization of Onyx-Occluded Giant Intracavernous Carotid Aneurysm

Purpose: To present the application of a covered stent for the management of a left internal carotid artery (ICA) aneurysm that had recanalized following embolization with Onyx. Case Report: A 54-year-old man had a giant intracavernous aneurysm of the left ICA successfully occluded with Onyx. Recurr...

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Bibliographic Details
Published in:Journal of endovascular therapy 2004-12, Vol.11 (6), p.742-746
Main Authors: Magoufis, George L., Vrachliotis, Thomas G., Stringaris, Kiriakos A.
Format: Article
Language:English
Subjects:
Angioplasty, Balloon - methods
Carotid Artery, Internal - diagnostic imaging
Cerebral Angiography
Coated Materials, Biocompatible
Embolization, Therapeutic - adverse effects
Embolization, Therapeutic - methods
Follow-Up Studies
Humans
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - therapy
Male
Middle Aged
Polyvinyls - therapeutic use
Recurrence
Risk Assessment
Stents
Treatment Outcome
Vascular Patency - physiology
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Summary:Purpose: To present the application of a covered stent for the management of a left internal carotid artery (ICA) aneurysm that had recanalized following embolization with Onyx. Case Report: A 54-year-old man had a giant intracavernous aneurysm of the left ICA successfully occluded with Onyx. Recurrence of symptoms 5 months later prompted control angiography, which showed partial recanalization of the aneurysm. The aneurysm neck was successfully sealed by placing 2 polytetrafluoroethylene-covered stents across it. Control angiography performed at 12 months after stent placement showed no stenosis or signs of recanalization of the aneurysm. Conclusions: Recanalization of giant intracavernous carotid aneurysms post-Onyx treatment may be safely treated with placement of covered stents across the aneurysm neck.
ISSN:1526-6028
1545-1550
DOI:10.1583/03-1195R.1